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General NPI Number Information
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NPI Number | 1841734902
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Entity Type | Organization
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Legal Business Name | REBECCA MITCHELL COUNSELING
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 280 W HIGH ST 1ST FLOOR
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City | WAYNESBURG
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State | PA
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Zip | 15370-1312
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Country | US
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Telephone | 724-322-1644
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Fax | 724-814-3287
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Provider Business Mailing Address
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Address Line | 1386 JERSEY HOLLOW RD
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City | CONFLUENCE
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State | PA
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Zip | 15424-2567
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Country | US
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Telephone | 724-322-1644
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Fax | 724-814-3287
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Authorized Official
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Title or Position | LPC
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Name | REBECCA MITCHELL
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Credential |
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Telephone | 724-322-1644
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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 |
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License Number State |
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