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General NPI Number Information
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NPI Number | 1598573768
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Entity Type | Organization
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Legal Business Name | WELLAWARE COUNSELING
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 702 ROCKLAND ROAD
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City | ROCKLAND
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State | DE
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Zip | 19732
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Country | US
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Telephone | 302-722-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 4023 KENNETT PIKE STE 302
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City | WILMINGTON
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State | DE
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Zip | 19807-2018
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Country | US
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Telephone | 302-722-5440
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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. KYARA PANULA BECK
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Credential | LPCMH
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Telephone | 302-722-5440
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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 | 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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