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General NPI Number Information
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NPI Number | 1679936207
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Entity Type | Organization
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Legal Business Name | COMPASS POINTS COUNSELING LLC
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 458 RITCHIE HIGHWAY 203D
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City | SEVERNA PARK
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State | MD
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Zip | 21146
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Country | US
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Telephone | 410-580-1580
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Fax | 877-258-9432
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Provider Business Mailing Address
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Address Line | 690 212TH ST
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City | PASADENA
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State | MD
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Zip | 21122-1440
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Country | US
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Telephone | 412-310-4440
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Fax | 877-258-9432
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Authorized Official
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Title or Position | OWNER
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Name | SHELLEY A OCONNOR
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Credential | LCSW-C
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Telephone | 412-310-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 20748
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License Number State | MD
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