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General NPI Number Information
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NPI Number | 1538485339
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Entity Type | Individual
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Provider Name | BRIAN MCCUE LPC
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 09/21/2024
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Provider Practice Location Address
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Address Line | 2909 ROUTE 100 STE 230
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City | OREFIELD
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State | PA
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Zip | 18069-2953
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Country | US
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Telephone | 484-632-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 1723 N 18TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18104-9715
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Country | US
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Telephone | 484-860-6016
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Fax | 215-257-9347
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC011582
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License Number State | PA
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