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General NPI Number Information
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NPI Number | 1811507577
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Entity Type | Organization
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Legal Business Name | WATER BEAR COUNSELING, LLC
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 76 SUMMER ST STE 115
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City | FITCHBURG
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State | MA
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Zip | 01420-5705
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Country | US
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Telephone | 978-400-0980
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Fax | 855-403-3832
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Provider Business Mailing Address
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Address Line | 150 SAINT BERNARD ST
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City | FITCHBURG
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State | MA
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Zip | 01420-5891
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Country | US
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Telephone | 617-571-3558
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | ALICIA RAPSON
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Credential | LMHC
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Telephone | 617-571-3558
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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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