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General NPI Number Information
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NPI Number | 1558824821
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Entity Type | Organization
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Legal Business Name | ESSENTIAL COUNSELING SERVICES
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 04/12/2019
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Provider Practice Location Address
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Address Line | 9 POST RD STE M3
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City | OAKLAND
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State | NJ
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Zip | 07436-1615
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Country | US
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Telephone | 201-259-3098
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Fax |
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Provider Business Mailing Address
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Address Line | 52 GOULD RD
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City | NEWFOUNDLAND
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State | NJ
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Zip | 07435-1703
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Country | US
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Telephone | 201-259-3098
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. TIMOTHY CONWAY
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Credential | LPC, NCC
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Telephone | 201-259-3098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School 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 | 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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