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General NPI Number Information
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NPI Number | 1518753268
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Entity Type | Organization
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Legal Business Name | HARBOR OF HOPE COUNSELING PLLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 11 CEDAR ST
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City | CALAIS
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State | ME
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Zip | 04619-1368
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Country | US
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Telephone | 207-214-2618
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1337
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City | CALAIS
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State | ME
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Zip | 04619-6337
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Country | US
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Telephone | 207-214-2618
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | NATHANIEL W LUTZ
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Credential | LCPC
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Telephone | 207-214-2618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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