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NPI 1801658893

NPI 1801658893 : AMBERSKY COUNSELING INC : PLYMPTON, MA

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General NPI Number Information
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    NPI Number           |    1801658893
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMBERSKY COUNSELING INC 
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Dates
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    Enumeration Date     |    01/25/2024
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    Last Update Date     |    02/29/2024
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Provider Practice Location Address
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    Address Line         |    373 MAIN ST 
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    City                 |    PLYMPTON
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    State                |    MA
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    Zip                  |    02367-1512
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    Country              |    US
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    Telephone            |    781-801-3457
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    373 MAIN ST 
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    City                 |    PLYMPTON
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    State                |    MA
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    Zip                  |    02367-1512
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    Country              |    US
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    Telephone            |    781-801-3457
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SUZANNE LOUISE JAFFERIAN 
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    Credential           |    LMHC
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    Telephone            |    781-801-3457
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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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