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General NPI Number Information
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NPI Number | 1609354299
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Entity Type | Organization
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Legal Business Name | FINDING SOLACE COUNSELING LLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 12 MARKET SQUARE SUITE 2
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City | AMESBURY
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State | MA
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Zip | 01913
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Country | US
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Telephone | 978-903-2030
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Fax | 978-903-2030
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Provider Business Mailing Address
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Address Line | 12 MARKET SQ SUITE 2
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City | AMESBURY
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State | MA
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Zip | 01913-2442
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Country | US
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Telephone | 978-903-2030
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Fax | 978-903-2030
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHELLE NICKERSON
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Credential | LICSW
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Telephone | 978-903-2030
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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 | 2096
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 121121
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License Number State | MA
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