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General NPI Number Information
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NPI Number | 1649706516
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE COUNSELING, LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 2030 STRAITS TPKE STE 2
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City | MIDDLEBURY
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State | CT
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Zip | 06762-1831
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Country | US
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Telephone | 203-577-6444
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Fax | 203-577-6444
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Provider Business Mailing Address
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Address Line | 2030 STRAITS TPKE STE 2
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City | MIDDLEBURY
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State | CT
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Zip | 06762-1831
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Country | US
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Telephone | 203-577-6444
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Fax | 203-577-6444
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATHERINE LEIGH POMEROY
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Credential | LMFT
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Telephone | 203-577-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001067
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License Number State | CT
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