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General NPI Number Information
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NPI Number | 1831109685
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Entity Type | Individual
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Provider Name | CECELIA HOPE MANLEY MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 250 W MAIN ST STE 303
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City | BRANFORD
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State | CT
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Zip | 06405-4032
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Country | US
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Telephone | 203-334-2814
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Fax |
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Provider Business Mailing Address
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Address Line | 229 BRANFORD RD UNIT 346
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City | NORTH BRANFORD
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State | CT
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Zip | 06471-1373
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Country | US
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Telephone | 203-334-2814
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 240001235CT01
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License Number State | CT
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