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General NPI Number Information
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NPI Number | 1770001083
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Entity Type | Organization
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Legal Business Name | LATINO COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 32 WILLIAM ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-6276
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Country | US
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Telephone | 781-248-8355
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Fax | 508-993-6353
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Provider Business Mailing Address
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Address Line | 32 WILLIAM ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-6276
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Country | US
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Telephone | 781-248-8355
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Fax | 508-993-6353
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILLIP CLAUDE D'AMOUR
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Credential | LMHC
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Telephone | 781-248-8355
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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 | 1340
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License Number State | MA
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