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General NPI Number Information
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NPI Number | 1508741521
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Entity Type | Organization
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Legal Business Name | WITCH CITY COUNSELING LLC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1 LANGDON ST
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City | SALEM
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State | MA
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Zip | 01970-1907
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Country | US
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Telephone | 978-206-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 1 LANGDON ST
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City | SALEM
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State | MA
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Zip | 01970-1907
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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 | EVAN I KRAVETTE
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Credential | LICSW
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Telephone | 339-364-0421
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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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