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General NPI Number Information
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NPI Number | 1629124912
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Entity Type | Organization
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Legal Business Name | NORTH STAR COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 31 PLEASANT ST
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City | SPRINGFIELD
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State | VT
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Zip | 05156-2615
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Country | US
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Telephone | 802-885-3670
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Fax |
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Provider Business Mailing Address
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Address Line | 31 PLEASANT ST
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City | SPRINGFIELD
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State | VT
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Zip | 05156-2615
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT SPOTTSWOOD
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Credential | M.A.
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Telephone | 802-885-3670
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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 | 068-0000360
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License Number State | VT
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