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General NPI Number Information
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NPI Number | 1679882104
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Entity Type | Organization
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Legal Business Name | FRANKLIN PROFESSIONAL COUNSELING CENTER LLC
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 72 ROUTE 32
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City | NORTH FRANKLIN
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State | CT
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Zip | 06254-1810
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Country | US
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Telephone | 860-822-6009
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HAZELWOOD DR
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City | BALTIC
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State | CT
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Zip | 06330-1106
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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 | OWNER
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Name | PAMELA ADAMS-MISH
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Credential | LMFT
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Telephone | 860-822-6009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 000816
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000816
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License Number State | CT
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Taxonomy #3
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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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