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General NPI Number Information
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NPI Number | 1780478438
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Entity Type | Individual
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Provider Name | LORIE KURRELL LCSW CAADC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 4042 ROUTE 204
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City | SELINSGROVE
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State | PA
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Zip | 17870-8789
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Country | US
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Telephone | 570-975-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 4042 ROUTE 204
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City | SELINSGROVE
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State | PA
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Zip | 17870-8789
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Country | US
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Telephone | 570-975-5595
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16149
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW024753
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License Number State | PA
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