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General NPI Number Information
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NPI Number | 1528424157
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Entity Type | Organization
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Legal Business Name | BROSENITSCH COUNSELING
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 101 OAK RIDGE DR STE E
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City | BUTLER
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State | PA
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Zip | 16002
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Country | US
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Telephone | 724-453-4595
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Fax |
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Provider Business Mailing Address
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Address Line | 101 OAK RIDGE DR STE E
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City | BUTLER
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State | PA
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Zip | 16002-4901
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Country | US
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Telephone | 724-453-4595
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | JENNIFER L BROSENITSCH
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Credential | LPC
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Telephone | 484-643-8342
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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 | PC008606
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License Number State | PA
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