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General NPI Number Information
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NPI Number | 1649945247
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Entity Type | Organization
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Legal Business Name | CASSELL COUNSELING LLC
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 1619 ASHURST RD
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2713
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Country | US
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Telephone | 484-424-7355
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Fax | 484-930-0873
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Provider Business Mailing Address
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Address Line | 1619 ASHURST RD
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2713
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Country | US
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Telephone | 484-424-7355
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Fax | 484-930-0873
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Authorized Official
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Title or Position | CEO
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Name | MRS. ALLISON B CASSELL
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Credential | LPC
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Telephone | 252-378-4324
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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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