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General NPI Number Information
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NPI Number | 1730234659
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Entity Type | Individual
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Provider Name | ELLEN MARGRET GOYETTE LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 71 SUMMER ST.
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City | HAVERHILL
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State | MA
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Zip | 01830
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Country | US
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Telephone | 603-289-2731
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Fax | 603-489-1622
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Provider Business Mailing Address
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Address Line | 71 SUMMER ST.
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City | HAVERHILL
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State | MA
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Zip | 01830
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Country | US
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Telephone | 603-289-2731
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Fax | 603-489-1622
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1674
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 938
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License Number State | MA
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