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General NPI Number Information
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NPI Number | 1679432496
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Entity Type | Organization
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Legal Business Name | FULLY HUMAN WELLNESS
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 20 CAROLINA AVE
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City | EWING
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State | NJ
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Zip | 08618
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Country | US
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Telephone | 609-264-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 28 SPRING ST UNIT 377
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City | PRINCETON
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State | NJ
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Zip | 08542-6901
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Country | US
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Telephone | 609-264-6277
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUCAS THOMPSON
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Credential | LPC
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Telephone | 609-264-6277
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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 |
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License Number State |
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