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General NPI Number Information
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NPI Number | 1700360757
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Entity Type | Organization
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Legal Business Name | UNIVERSAL COUNSELING LLC
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Dates
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Enumeration Date | 09/16/2018
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Last Update Date | 02/08/2020
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Provider Practice Location Address
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Address Line | 18-20 LACKAWANNA PLZ
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3642
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Country | US
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Telephone | 862-216-8764
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Fax |
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Provider Business Mailing Address
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Address Line | 43 BROOKWOOD DR
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-1904
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Country | US
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Telephone | 862-216-8764
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ALAN G STOWERS II
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Credential | LCSW
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Telephone | 862-216-8764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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