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General NPI Number Information
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NPI Number | 1649010307
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Entity Type | Organization
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Legal Business Name | TRISTATE COUNSELING SERVICES
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 74 CEDAR BEACH RD
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City | MILFORD
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State | DE
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Zip | 19963-4273
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Country | US
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Telephone | 302-542-3554
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Fax |
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Provider Business Mailing Address
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Address Line | 21142 CEDAR BEACH RD
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City | MILFORD
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State | DE
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Zip | 19963-4349
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Country | US
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Telephone | 302-542-3554
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | JULIE MORRIS
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Credential | LCSW
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Telephone | 302-542-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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