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General NPI Number Information
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NPI Number | 1720237035
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Entity Type | Organization
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Legal Business Name | G.E.M. COUNSELING ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 1715 HWY 35 SUITE 103
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-1867
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Country | US
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Telephone | 732-671-6222
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Fax | 732-671-8383
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Provider Business Mailing Address
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Address Line | 1715 HWY 35 SUITE 103
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-1867
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Country | US
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Telephone | 732-671-6222
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Fax | 732-671-8383
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JANET ELAINE GEMENDEN
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Credential | LPC, LCADC
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Telephone | 732-671-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37LC00012800
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License Number State | NJ
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