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General NPI Number Information
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NPI Number | 1821864414
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Entity Type | Organization
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Legal Business Name | EBB & FLOW COUNSELING COACHING
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 2177 W RIDGE DR
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City | LANCASTER
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State | PA
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Zip | 17603-6129
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Country | US
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Telephone | 717-883-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 1653 LITITZ PIKE # 1206
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City | LANCASTER
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State | PA
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Zip | 17601-6507
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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 | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. JENNIFER COLLINS
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Credential | PSYD
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Telephone | 717-883-1570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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