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General NPI Number Information
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NPI Number | 1649847054
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Entity Type | Organization
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Legal Business Name | EMPOWERING CHANGE COUNSELING & WELLNESS LLC
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Dates
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Enumeration Date | 06/06/2021
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Last Update Date | 06/06/2021
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Provider Practice Location Address
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Address Line | 36 HILL ST
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City | SOUTHINGTON
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State | CT
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Zip | 06489-3001
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Country | US
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Telephone | 860-461-5212
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Fax |
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Provider Business Mailing Address
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Address Line | 36 HILL ST
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City | SOUTHINGTON
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State | CT
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Zip | 06489-3001
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Country | US
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Telephone | 860-461-5212
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. KATHRYN CEFARATTI
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Credential | LPC
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Telephone | 860-461-5212
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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 |
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License Number State |
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