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General NPI Number Information
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NPI Number | 1568222685
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Entity Type | Organization
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Legal Business Name | STRENGTH AND LIGHT COUNSELING SERVICES
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 41 W OTTERMAN ST STE 510
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City | GREENSBURG
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State | PA
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Zip | 15601-2322
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Country | US
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Telephone | 724-757-8173
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 133
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City | CLARKSBURG
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State | PA
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Zip | 15725-0133
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Country | US
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Telephone | 724-757-8173
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Fax |
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | SHAWN BRISBANE
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Credential | MA, LPC, NCC
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Telephone | 724-757-8173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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