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General NPI Number Information
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NPI Number | 1609640481
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Entity Type | Organization
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Legal Business Name | THISTLE COUNSELING LLC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 229 WOODLAWN TER
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City | COLLINGSWOOD
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State | NJ
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Zip | 08108-1542
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Country | US
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Telephone | 973-698-2818
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 CHESTNUT ST STE 2, # 1543
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 267-290-4062
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARON MARIE MUSE
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Credential | LPC
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Telephone | 267-290-4062
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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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