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General NPI Number Information
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NPI Number | 1780529255
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Entity Type | Organization
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Legal Business Name | C2 COUNSELING GROUP LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 480 PIERCE ST STE 108
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City | KINGSTON
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State | PA
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Zip | 18704-5512
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Country | US
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Telephone | 570-262-4786
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Fax | 570-763-7852
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Provider Business Mailing Address
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Address Line | 480 PIERCE ST STE 108
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City | KINGSTON
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State | PA
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Zip | 18704-5512
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Country | US
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Telephone | 570-855-8787
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Fax | 570-262-4786
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | ANN COOK
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Credential | LPC
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Telephone | 570-262-4788
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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 |
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License Number State |
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