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General NPI Number Information
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NPI Number | 1851512958
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Entity Type | Organization
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Legal Business Name | COUNSELING & PSYCHOTHERAPY, INC.
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19 PARK ST SUITE 101
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City | THOMASTON
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State | CT
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Zip | 06787-1729
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Country | US
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Telephone | 860-283-0670
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Fax | 860-283-5680
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Provider Business Mailing Address
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Address Line | 19 PARK ST SUITE 101
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City | THOMASTON
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State | CT
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Zip | 06787-1729
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Country | US
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Telephone | 860-283-0670
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Fax | 860-283-5680
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. WILLIAM N. SMITH
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Credential | L.P.C.
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Telephone | 860-283-0670
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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 | 001316
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License Number State | CT
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