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General NPI Number Information
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NPI Number | 1801498027
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Entity Type | Organization
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Legal Business Name | LIVE PRESENTLY COUNSELING
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 232 MADISON AVE
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City | WYCKOFF
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State | NJ
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Zip | 07481-1949
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Country | US
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Telephone | 201-456-6436
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Fax |
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Provider Business Mailing Address
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Address Line | 452 LAWTON AVE
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-1911
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Country | US
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Telephone | 201-456-6436
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Fax |
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Authorized Official
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Title or Position | FOUNDER /CLINICIAN
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Name | MS. VICTORIA CATERINA MADDEN
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Credential | LCSW
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Telephone | 201-676-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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