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General NPI Number Information
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NPI Number | 1841730769
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Entity Type | Organization
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Legal Business Name | JENNIFER CARDARELLI LMHC, LLC
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 909 WASHINGTON ST FL 3
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City | STOUGHTON
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State | MA
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Zip | 02072-2951
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Country | US
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Telephone | 781-262-8110
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Fax | 781-205-2475
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Provider Business Mailing Address
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Address Line | 909 WASHINGTON ST FL 3
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City | STOUGHTON
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State | MA
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Zip | 02072-2951
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Country | US
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Telephone | 781-262-8110
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Fax | 781-205-2475
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER FRENKEL CARDARELLI
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Credential | LMHC
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Telephone | 781-262-8110
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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 | 8611
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License Number State | MA
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