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General NPI Number Information
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NPI Number | 1811583933
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Entity Type | Organization
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Legal Business Name | SEAT OF SELF LLC
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Dates
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Enumeration Date | 12/13/2020
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Last Update Date | 12/13/2020
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Provider Practice Location Address
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Address Line | 12 GIRARD WAY
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City | NEWBURY
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State | MA
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Zip | 01951-2107
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Country | US
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Telephone | 508-981-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 12 GIRARD WAY
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City | NEWBURY
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State | MA
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Zip | 01951-2107
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Country | US
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Telephone | 508-981-6663
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | SARAH C DESCHENES
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Credential | LMHC, LCPC, RYT-200
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Telephone | 508-981-6663
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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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