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General NPI Number Information
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NPI Number | 1497141063
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Entity Type | Organization
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Legal Business Name | INNER SAGE COUNSELING, LLC
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 70 LANDMARK HILL DR STE 101
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City | BRATTLEBORO
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State | VT
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Zip | 05301-9106
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Country | US
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Telephone | 802-416-1619
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Fax | 802-332-3082
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Provider Business Mailing Address
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Address Line | 70 LANDMARK HILL DR STE 101
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City | BRATTLEBORO
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State | VT
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Zip | 05301-9106
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Country | US
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Telephone | 802-416-1619
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Fax | 802-332-3082
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Authorized Official
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Title or Position | OWNER
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Name | BILLIE JO HAGEN
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Credential | LICSW
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Telephone | 802-416-1619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0890101573
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License Number State | VT
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