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General NPI Number Information
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NPI Number | 1598672073
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH AND COUNSELING SERVICES
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 42 CEDAR ST
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City | BANGOR
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State | ME
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Zip | 04401-6433
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Country | US
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Telephone | 207-922-4600
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Fax | 207-942-9290
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Provider Business Mailing Address
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Address Line | 42 CEDAR ST
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City | BANGOR
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State | ME
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Zip | 04401-6433
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Country | US
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Telephone | 207-922-4600
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Fax | 207-942-9290
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Authorized Official
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Title or Position | COUNSELOR
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Name | JENNIFER CHUNG
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Credential | LCPC-C
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Telephone | 207-561-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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