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General NPI Number Information
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NPI Number | 1699942458
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Entity Type | Organization
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Legal Business Name | PATHFINDER COUNSELING INC
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 7511 LITTLE RD SUITE 101
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-5531
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Country | US
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Telephone | 727-817-1360
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Fax | 727-815-9898
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Provider Business Mailing Address
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Address Line | 7511 LITTLE RD SUITE 101
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-5531
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Country | US
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Telephone | 727-817-1360
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Fax | 727-815-9898
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Authorized Official
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Title or Position | CEO
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Name | MR. THOMAS JOHN SHAUGHNESSY
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Credential | LMHC CAP
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Telephone | 727-817-1360
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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 | SR51AD501701
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH4602
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License Number State | FL
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