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General NPI Number Information
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NPI Number | 1598940587
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Entity Type | Individual
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Provider Name | ANASTASIA MATINA MARAVELIAS-KAKOS MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 232 NORWOOD AVE COUNSELING & PSYCHOTHERAPY FOR CHANGE, LLC
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1859
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Country | US
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Telephone | 732-263-1515
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Fax | 732-263-9555
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Provider Business Mailing Address
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Address Line | 232 NORWOOD AVE COUNSELING & PSYCHOTHERAPY FOR CHANGE, LLC
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1859
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Country | US
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Telephone | 732-263-1515
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Fax | 732-263-9555
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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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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00046000
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License Number State | NJ
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