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NPI 1598229130

NPI 1598229130 : GUIDED PATH COUNSELING : WALL, NJ

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General NPI Number Information
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    NPI Number           |    1598229130
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    Entity Type          |    Organization 
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    Legal Business Name  |    GUIDED PATH COUNSELING 
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Dates
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    Enumeration Date     |    01/28/2019
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    Last Update Date     |    01/28/2019
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Provider Practice Location Address
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    Address Line         |    1540 RTE 138 STE 201 
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    City                 |    WALL
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    State                |    NJ
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    Zip                  |    07719-3765
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    Country              |    US
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    Telephone            |    732-261-0513
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    55 ANITA DR 
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    City                 |    JACKSON
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    State                |    NJ
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    Zip                  |    08527-4902
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    Country              |    US
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    Telephone            |    732-261-0513
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. JENNIFER  NEMETH 
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    Credential           |    LCSW
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    Telephone            |    732-261-0513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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