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General NPI Number Information
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NPI Number | 1750571196
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Entity Type | Individual
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Provider Name | CHRISTINA E.M. CARRAD LPC, LCAT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 230 W 13TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7746
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Country | US
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Telephone | 973-769-5215
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W 22ND ST APT 4D
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City | NEW YORK
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State | NY
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Zip | 10011-2727
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Country | US
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Telephone | 973-769-5215
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Fax |
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 000981
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00328000
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License Number State | NJ
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