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General NPI Number Information
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NPI Number | 1508647314
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Entity Type | Organization
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Legal Business Name | CATHERINE FITZGIBBONS COUNSELING, LLC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 561 OLD W CHOCOLATE AVE
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City | HERSHEY
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State | PA
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Zip | 17033-1676
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Country | US
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Telephone | 717-450-7418
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Fax |
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Provider Business Mailing Address
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Address Line | 135 ASHFORD DR
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City | LEBANON
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State | PA
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Zip | 17042-7978
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Country | US
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Telephone | 717-507-1240
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CATHERINE FITZGIBBONS
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Credential | LPC
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Telephone | 717-507-1240
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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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