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General NPI Number Information
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NPI Number | 1497675607
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Entity Type | Organization
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Legal Business Name | BLANK CANVAS THERAPY PLLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 15 CUSTER ST
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City | LAWRENCE
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State | MA
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Zip | 01841-1906
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Country | US
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Telephone | 978-482-7189
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Fax |
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Provider Business Mailing Address
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Address Line | 73 TURNPIKE ST STE 1139
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5045
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAKIRA NUNEZ
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Credential | LMHC
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Telephone | 978-482-7189
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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 |
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License Number State |
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