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General NPI Number Information
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NPI Number | 1740396936
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Entity Type | Organization
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Legal Business Name | KNOSIS COUNSELING AND PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41 KENOSIA AVE STE 302
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City | DANBURY
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State | CT
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Zip | 06810-7360
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Country | US
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Telephone | 203-743-9012
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Fax | 203-743-9012
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Provider Business Mailing Address
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Address Line | 41 KENOSIA AVE STE 302
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City | DANBURY
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State | CT
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Zip | 06810-7360
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Country | US
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Telephone | 203-743-9012
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Fax | 203-743-9012
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MS. LYNNE CHERYL STONE
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Credential | MA, ED.M, MSW, LCSW
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Telephone | 203-743-9012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 004844
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License Number State | CT
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