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General NPI Number Information
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NPI Number | 1689907008
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Entity Type | Organization
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Legal Business Name | COUNSELING FOR WELL-BEING, LLC
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 410 FARNSWORTH AVE SUITE 1A
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2005
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Country | US
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Telephone | 609-298-9144
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Fax | 609-298-9288
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Provider Business Mailing Address
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Address Line | 410 FARNSWORTH AVENUE SUITE 1A
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City | BORDENTOWN
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State | USA
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Zip | 08505
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Country | UM
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Telephone | 60929889144
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Fax | 609-298-9288
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. DANA PETERSON
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Credential | LCSW
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Telephone | 609-298-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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