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General NPI Number Information
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NPI Number | 1518282854
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Entity Type | Organization
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Legal Business Name | CHERYL L. MENARD CONSULTING LLC
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 222 PROSPECT STREET
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City | TORRINGTON
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State | CT
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Zip | 06790
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Country | US
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Telephone | 860-866-6559
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Fax | 860-379-1118
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Provider Business Mailing Address
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Address Line | P.O. BOX 305
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City | COLEBROOK
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State | CT
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Zip | 06021
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Country | US
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Telephone | 860-866-6559
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Fax | 860-379-1118
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Authorized Official
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Title or Position | CHERYL L. MENARD CONSULTING LLC - S
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Name | MS. CHERYL LYNN MENARD
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Credential | LCSW, LADC, CCDP
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Telephone | 860-866-6559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000665
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CCPD 3777
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 004629
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License Number State | CT
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