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General NPI Number Information
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NPI Number | 1528573789
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Entity Type | Organization
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Legal Business Name | RMS COUNSELING LLC
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 66 N MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-3032
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Country | US
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Telephone | 203-645-5563
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Fax |
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Provider Business Mailing Address
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Address Line | 57 MYRON ST
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City | NEW HAVEN
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State | CT
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Zip | 06512-3950
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Country | US
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Telephone | 203-506-6455
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | REBECCA SULLIVAN
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Credential | LPC
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Telephone | 203-645-5563
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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 | 2994
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License Number State | CT
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