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General NPI Number Information
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NPI Number | 1518332600
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Entity Type | Individual
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Provider Name | ANDREA LICARI-CRITCHLEY LPC, LMHC, NCC, MA
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Gender | Female
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 124 SIX STRING DR
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City | DAYTONA BEACH
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State | FL
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Zip | 32124-1167
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Country | US
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Telephone | 908-415-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 908-415-0870
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37AC00253600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH26452
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License Number State | FL
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