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General NPI Number Information
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NPI Number | 1659865798
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Entity Type | Organization
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Legal Business Name | SIEGER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 45 S MAIN ST STE 300
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2402
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Country | US
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Telephone | 860-200-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 224 S WHITNEY ST APT 3S
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City | HARTFORD
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State | CT
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Zip | 06105-3014
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MR. MICHAEL A SIEGER
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Credential | LPC
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Telephone | 860-200-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 002242
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License Number State | CT
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