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General NPI Number Information
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NPI Number | 1841131349
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Entity Type | Organization
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Legal Business Name | CORE PSYCHIATRIC & PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 1324 CHESTNUT AVE
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City | DU BOIS
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State | PA
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Zip | 15801-2988
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Country | US
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Telephone | 814-371-1088
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Fax | 814-371-4966
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Provider Business Mailing Address
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Address Line | PO BOX 19
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City | GRAMPIAN
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State | PA
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Zip | 16838-0019
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Country | US
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Telephone | 814-849-2844
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Fax | 814-849-3425
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Authorized Official
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Title or Position | OUTPATIENT THERAPIST
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Name | MRS. JEMMA NOELLE BROOKS
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Credential | LPC
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Telephone | 814-913-4755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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