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NPI 1790902419

NPI 1790902419 : TARA J PARISI LMHC : LONDONDERRY, NH

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General NPI Number Information
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    NPI Number           |    1790902419
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    Entity Type          |    Individual 
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    Provider Name        |    TARA J PARISI LMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2007
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    Last Update Date     |    01/26/2023
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Provider Practice Location Address
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    Address Line         |    22 WOODSIDE DR 
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    City                 |    LONDONDERRY
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    State                |    NH
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    Zip                  |    03053-7417
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    Country              |    US
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    Telephone            |    603-548-2196
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22 WOODSIDE DR 
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    City                 |    LONDONDERRY
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    State                |    NH
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    Zip                  |    03053-7417
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    Country              |    US
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    Telephone            |    603-548-2196
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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       |    2300
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    License Number State |    NH
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    CC6074
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    License Number State |    ME
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    5406
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    License Number State |    MA
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Taxonomy #4
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    619
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    License Number State |    NH
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