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General NPI Number Information
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NPI Number | 1689898264
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Entity Type | Individual
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Provider Name | SANDRA IRENE VALENTE PH.D.,LADC, LPC, CCS
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 51 SHERMAN HILL RD SUITE A-202
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City | WOODBURY
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State | CT
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Zip | 06798-3648
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Country | US
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Telephone | 203-586-1488
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Fax | 203-586-1488
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Provider Business Mailing Address
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Address Line | 41 COUNTRY HOLLOW RD
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City | NAUGATUCK
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State | CT
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Zip | 06770-3191
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Country | US
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Telephone | 203-232-0515
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 000722
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001627
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 001627
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001627
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License Number State | CT
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