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General NPI Number Information
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NPI Number | 1538629381
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Entity Type | Organization
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Legal Business Name | MILLCREEK COUNSELING & MENTAL HEALTH ADVOCACY PARTNERSHIP CORP
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 1738 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-5024
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Country | US
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Telephone | 814-449-6477
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Fax | 814-836-8194
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Provider Business Mailing Address
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Address Line | 1738 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-5024
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Country | US
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Telephone | 814-722-7467
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Fax | 814-836-8194
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | KENNETH C BORLAND
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Credential |
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Telephone | 814-449-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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