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General NPI Number Information
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NPI Number | 1821750902
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Entity Type | Individual
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Provider Name | MONICKA FOSNOCHT ND/NMD, LPCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 225 HIGH ST
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-1336
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Country | US
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Telephone | 610-674-0331
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Fax |
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Provider Business Mailing Address
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Address Line | 3 ROSSITER AVE
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2509
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Country | US
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Telephone |
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16354
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1271
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC017681P
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License Number State | PA
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