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General NPI Number Information
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NPI Number | 1518369990
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Entity Type | Organization
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Legal Business Name | CALM REFLECTIONS PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 97 N MAIN ST STE 307D
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City | SAINT ALBANS
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State | VT
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Zip | 05478-2173
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Country | US
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Telephone | 802-393-3382
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Fax | 844-203-6133
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Provider Business Mailing Address
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Address Line | 9 KRUSCH DR
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City | JEFFERSONVILLE
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State | VT
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Zip | 05464-4400
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Country | US
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Telephone | 802-393-3382
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Fax | 844-203-6133
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Authorized Official
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Title or Position | OWNER/PRESIDENT AND CLINICAL SW
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Name | KATHLEEN PAINE
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Credential | LICSW
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Telephone | 802-393-3382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0890001191
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License Number State | VT
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