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General NPI Number Information
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NPI Number | 1558015685
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Entity Type | Organization
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Legal Business Name | EHJ COUNSELING LLC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 140 GRANDVIEW AVE STE 104B
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City | WATERBURY
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State | CT
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Zip | 06708-2518
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Country | US
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Telephone | 203-759-8021
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Fax |
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Provider Business Mailing Address
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Address Line | 53 HAWTHORNE AVE
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City | WATERBURY
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State | CT
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Zip | 06708-4614
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Country | US
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Telephone | 203-759-8021
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. EVAN HUNTER JR.
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Credential | LADC
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Telephone | 203-346-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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