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General NPI Number Information
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NPI Number | 1720807951
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Entity Type | Organization
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Legal Business Name | DEBORAH MISSUD MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 928 BROADWAY STE 503
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City | NEW YORK
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State | NY
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Zip | 10010-8145
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Country | US
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Telephone | 646-883-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 928 BROADWAY STE 503
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City | NEW YORK
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State | NY
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Zip | 10010-8145
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH MISSUD
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Credential | LMHC-D
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Telephone | 703-309-8805
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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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