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General NPI Number Information
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NPI Number | 1609233659
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Entity Type | Organization
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Legal Business Name | CW COUNSELING
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 24 OPERA HOUSE SQ # 26 MOODY BUILDING
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City | CLAREMONT
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State | NH
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Zip | 03743-5408
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Country | US
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Telephone | 603-287-7105
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Fax | 603-287-7107
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Provider Business Mailing Address
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Address Line | 24 OPERA HOUSE SQ # 26 MOODY BUILDING
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City | CLAREMONT
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State | NH
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Zip | 03743-5408
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Country | US
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Telephone | 603-287-7105
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Fax | 603-287-7107
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MS. CLAIRE JULIE WELLINGTON
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Credential | LCMHC
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Telephone | 603-287-7105
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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 | 915
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License Number State | NH
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