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General NPI Number Information
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NPI Number | 1508264011
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Entity Type | Individual
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Provider Name | STEPHANIE OCHOA LPC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 430 NEW PARK AVE STE 102
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City | WEST HARTFORD
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State | CT
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Zip | 06110-1142
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Country | US
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Telephone | 844-830-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 430 NEW PARK AVE STE 102
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City | WEST HARTFORD
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State | CT
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Zip | 06110-1142
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Country | US
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Telephone | 844-830-7233
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7288
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 011463
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-23494
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License Number State | AZ
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