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General NPI Number Information
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NPI Number | 1821750142
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Entity Type | Organization
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Legal Business Name | NURTURING CONNECTIONS MARRIAGE AND FAMILY THERAPY, PLLC
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5711 W GENESEE ST
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City | CAMILLUS
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State | NY
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Zip | 13031-1274
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Country | US
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Telephone | 315-294-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HUNTINGTON LN
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City | CAMILLUS
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State | NY
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Zip | 13031-9740
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Country | US
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Telephone | 513-781-9764
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Fax |
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Authorized Official
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Title or Position | OWNER, LMFT
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Name | MICHELLE C VANHATTEN
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Credential |
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Telephone | 315-294-0206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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