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General NPI Number Information
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NPI Number | 1740757442
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Entity Type | Organization
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Legal Business Name | AMY TITZER PROFESSIONAL COUNSELING, LLC
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 1987 STATE ST STE 206
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City | EAST PETERSBURG
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State | PA
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Zip | 17520-1324
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Country | US
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Telephone | 717-742-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 43 KAREN CT
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City | LITITZ
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State | PA
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Zip | 17543-9243
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Country | US
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Telephone | 717-742-2003
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. AMY GIBBONS TITZER
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Credential | LPC
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Telephone | 717-742-2003
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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 |
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License Number State |
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