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General NPI Number Information
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NPI Number | 1588049357
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Entity Type | Individual
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Provider Name | MRS. ANDREA L LOVELL
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Gender | Female
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 41 S MAIN ST STE 3A
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2448
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Country | US
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Telephone | 860-937-6210
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Fax | 860-371-2660
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Provider Business Mailing Address
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Address Line | 41 S MAIN ST STE 3A
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2448
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Country | US
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Telephone | 860-818-1222
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Fax | 860-371-2660
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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Taxonomy #4
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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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