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General NPI Number Information
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NPI Number | 1619146560
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Entity Type | Organization
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Legal Business Name | GENERATIONS COUNSELING PA
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 444 MAIN ST
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City | LEWISTON
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State | ME
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Zip | 04240-6737
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Country | US
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Telephone | 207-777-5900
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Fax | 207-777-5900
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Provider Business Mailing Address
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Address Line | 444 MAIN ST
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City | LEWISTON
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State | ME
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Zip | 04240-6737
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Country | US
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Telephone | 207-777-5900
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Fax | 207-777-5900
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LUANNE STARR RHOADES
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Credential | LCPC, LADC
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Telephone | 207-777-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LC2560
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC2030
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License Number State | ME
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