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General NPI Number Information
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NPI Number | 1750877056
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Entity Type | Organization
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Legal Business Name | JOSEPH LABRECQUE LPC LLC
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 18 ONECO ST STE 3
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City | NORWICH
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State | CT
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Zip | 06360-3440
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Country | US
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Telephone | 860-367-3215
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Fax |
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Provider Business Mailing Address
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Address Line | 21 CENTRAL AVE
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City | JEWETT CITY
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State | CT
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Zip | 06351-1813
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Country | US
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Telephone | 860-367-3215
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | JOSEPH R LABRECQUE
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Credential | LPC
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Telephone | 860-367-3215
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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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