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General NPI Number Information
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NPI Number | 1750893905
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Entity Type | Organization
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Legal Business Name | PARHAM COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | 99 MAIN ST UNIT 3-A3
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City | NORWICH
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State | CT
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Zip | 06360-5732
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Country | US
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Telephone | 860-235-9269
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Fax |
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Provider Business Mailing Address
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Address Line | 20 ANDREA LN
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City | NORWICH
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State | CT
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Zip | 06360-1680
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Country | US
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Telephone | 860-235-9269
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. CHRISTINA LEIGH PARHAM
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Credential | MA LADC
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Telephone | 860-235-9269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000866
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License Number State | CT
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