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General NPI Number Information
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NPI Number | 1558186858
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Entity Type | Organization
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Legal Business Name | CATTLEYA COUNSELING PLLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 53 OLD COACH RD
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City | ATKINSON
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State | NH
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Zip | 03811-2324
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Country | US
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Telephone | 617-209-9207
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Fax |
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Provider Business Mailing Address
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Address Line | 37 PLAISTOW RD UNIT 7 #139
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City | PLAISTOW
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State | NH
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Zip | 03865
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER/THERAPIST
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Name | CARMEN FOTI
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Credential | LICSW
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Telephone | 617-209-9207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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