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General NPI Number Information
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NPI Number | 1750766747
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Entity Type | Organization
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Legal Business Name | ALL SEASONS COUNSELING,LLC
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 210 S WASHINGTON AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-2904
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Country | US
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Telephone | 201-906-8419
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HUCKLEBERRY CT
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City | KINNELON
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State | NJ
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Zip | 07405-2724
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Country | US
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Telephone | 201-906-8419
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MRS. GLORIA I TUTTLE
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Credential | LCSW
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Telephone | 201-906-8419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 44SC01275200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 44SC01275200
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License Number State | NJ
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