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General NPI Number Information
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NPI Number | 1710618277
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Entity Type | Organization
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Legal Business Name | ROWAN MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 2498 WESTERN AVE
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City | ALTAMONT
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State | NY
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Zip | 12009-9483
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Country | US
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Telephone | 518-224-8800
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Fax | 518-252-4466
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Provider Business Mailing Address
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Address Line | 2498 WESTERN AVE
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City | ALTAMONT
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State | NY
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Zip | 12009-9483
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Country | US
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Telephone | 518-224-8800
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Fax | 518-252-4466
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Authorized Official
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Title or Position | PARTNER
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Name | JESSICA WRIGHT
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Credential | LMHC
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Telephone | 518-224-8800
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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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