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General NPI Number Information
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NPI Number | 1801454533
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Entity Type | Organization
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Legal Business Name | VERDANT COUNSELING, INC.
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 50 CONGRESS ST
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City | BOSTON
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State | MA
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Zip | 02109-4002
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Country | US
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Telephone | 617-333-0128
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Fax |
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Provider Business Mailing Address
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Address Line | 50 CONGRESS ST STE 336
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City | BOSTON
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State | MA
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Zip | 02109-4065
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Country | US
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Telephone | 617-333-8128
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JONATHAN WALSH
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Credential | LMHC
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Telephone | 617-333-8128
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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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