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NPI 1811313679

NPI 1811313679 : CHERYL FORERO LPC : MEADVILLE, PA

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General NPI Number Information
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    NPI Number           |    1811313679
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    Entity Type          |    Individual 
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    Provider Name        |    CHERYL FORERO LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/17/2014
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    Last Update Date     |    02/05/2015
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Provider Practice Location Address
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    Address Line         |    310 CHESTNUT ST SUITE 336
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    City                 |    MEADVILLE
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    State                |    PA
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    Zip                  |    16335-3283
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    Country              |    US
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    Telephone            |    814-350-5558
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    Fax                  |    814-337-3751
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Provider Business Mailing Address
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    Address Line         |    310 CHESTNUT ST SUITE 336
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    City                 |    MEADVILLE
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    State                |    PA
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    Zip                  |    16335-3283
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    Country              |    US
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    Telephone            |    814-350-5558
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    Fax                  |    814-337-3751
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    PC007450
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    License Number State |    PA
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