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General NPI Number Information
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NPI Number | 1659716538
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Entity Type | Organization
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Legal Business Name | CATALYST COUNSELING SERVICES
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 9 POST RD BLDG SUITE 6
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City | OAKLAND
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State | NJ
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Zip | 07436-1618
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Country | US
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Telephone | 201-572-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 710 GINGER LN
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417-2208
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Country | US
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Telephone | 551-427-9802
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA ANN PRO-MENNER
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Credential | MSW
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Telephone | 201-572-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 44SCO5191700
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License Number State | NJ
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