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General NPI Number Information
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NPI Number | 1619481405
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Entity Type | Organization
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Legal Business Name | FAMILY CENTERED COUNSELING OF NEW ENGLAND, PLLC
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 400 AMHERST ST STE 403
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City | NASHUA
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State | NH
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Zip | 03063-4225
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Country | US
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Telephone | 603-809-1534
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Fax |
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Provider Business Mailing Address
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Address Line | 77 DEACON LN
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City | HOLLIS
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State | NH
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Zip | 03049-6321
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Country | US
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Telephone | 603-809-1534
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | LISA R LANDOLT
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Credential | MSW LICSW
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Telephone | 603-809-1534
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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 | 1527
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License Number State | NH
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