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General NPI Number Information
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NPI Number | 1780324822
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Entity Type | Individual
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Provider Name | DEBRA HENRI LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 04/06/2024
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Provider Practice Location Address
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Address Line | 7 WEST 30TH ST FL 9 & 10
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 929-454-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 74TH ST APT 1H
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-2112
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Country | US
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Telephone | 215-635-2070
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 013884-01
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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 | PC014306
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License Number State | PA
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