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General NPI Number Information
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NPI Number | 1679977599
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Entity Type | Organization
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Legal Business Name | ANOTHER WAY COUNSELING PLLC
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 46 BRIDGE ST UNIT I
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City | NASHUA
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State | NH
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Zip | 03060-3576
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Country | US
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Telephone | 603-512-7429
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Fax |
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Provider Business Mailing Address
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Address Line | 46 BRIDGE ST UNIT I
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City | NASHUA
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State | NH
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Zip | 03060-3576
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Country | US
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Telephone | 603-512-7429
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/ADMINISTRATOR
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Name | SHASTA WINN
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Credential | MA MLADC
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Telephone | 603-512-7429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0819
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License Number State | NH
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