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General NPI Number Information
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NPI Number | 1497447189
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Entity Type | Organization
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Legal Business Name | RAINBOW COUNSELING & CONSULTATION LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 38 COLONIAL DR
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City | SHREWSBURY
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State | MA
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Zip | 01545-1521
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Country | US
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Telephone | 203-952-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 179 MAMANASCO RD
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City | RIDGEFIELD
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State | CT
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Zip | 06877-1721
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Country | US
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Telephone | 203-952-0131
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED THERAPIST
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Name | JESSICA JARRARD
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Credential | LMHC
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Telephone | 203-952-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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