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General NPI Number Information
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NPI Number | 1790243020
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Entity Type | Organization
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Legal Business Name | AADELIYA COUNSELING PRACTICE LLC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 7401 OLD YORK RD FL 2
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City | ELKINS PARK
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State | PA
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Zip | 19027-3005
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Country | US
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Telephone | 215-808-2128
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 UNRUH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19149-2525
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Country | US
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Telephone | 267-593-9780
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Fax |
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Authorized Official
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Title or Position | LPC/OWNER
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Name | MRS. TINA E PRESBERY
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Credential | LPC, RN, CAADC
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Telephone | 215-277-5321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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