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General NPI Number Information
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NPI Number | 1558153213
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Entity Type | Organization
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Legal Business Name | RED LEAF COUNSELING LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 321 MARY JANE RD
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City | BUXTON
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State | ME
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Zip | 04093-3138
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Country | US
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Telephone | 207-400-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 321 MARY JANE RD
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City | BUXTON
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State | ME
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Zip | 04093-3138
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Country | US
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Telephone | 207-400-2028
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY DAWN MORIN
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Credential | LCPC-C
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Telephone | 207-400-2082
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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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