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General NPI Number Information
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NPI Number | 1508722042
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Entity Type | Organization
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Legal Business Name | SHARE COUNSELING SERVICES
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 300 MILL ST STE 255
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City | MOORESTOWN
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State | NJ
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Zip | 08057-2522
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Country | US
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Telephone | 856-772-8212
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Fax | 856-234-1842
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Provider Business Mailing Address
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Address Line | 120 S LINCOLN AVE
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City | MOORESTOWN
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State | NJ
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Zip | 08057-1527
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Country | US
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Telephone | 856-906-0672
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Fax | 856-234-1842
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | SECRETTE BERTOT
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Credential | LPC
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Telephone | 856-906-0672
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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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