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General NPI Number Information
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NPI Number | 1588131429
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Entity Type | Organization
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Legal Business Name | DEBORAH MULLINS LICENED MENTAL HEALTH COUNSELOR PC
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 10/29/2018
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Provider Practice Location Address
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Address Line | 1285 ROUTE 9 STE 7
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4993
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Country | US
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Telephone | 914-557-4088
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Fax | 845-226-5865
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Provider Business Mailing Address
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Address Line | 146 ROOSEVELT DR
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City | POUGHQUAG
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State | NY
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Zip | 12570-5231
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Country | US
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Telephone | 914-577-4088
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Fax | 845-226-5865
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH MULLINS
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Credential | LMHC
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Telephone | 914-577-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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