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NPI 1861117707

NPI 1861117707 : EMILY ANNE RICE LPC, NCC, MS : RED BANK, NJ

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General NPI Number Information
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    NPI Number           |    1861117707
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY ANNE RICE LPC, NCC, MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2022
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    Last Update Date     |    10/04/2022
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Provider Practice Location Address
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    Address Line         |    248 BROAD ST 
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    City                 |    RED BANK
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    State                |    NJ
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    Zip                  |    07701-2020
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    Country              |    US
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    Telephone            |    732-456-7149
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    601 PITNEY DR APT 14 
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    City                 |    SPRING LAKE
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    State                |    NJ
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    Zip                  |    07762-2260
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    Country              |    US
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    Telephone            |    732-616-0094
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    37PC00886100
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    License Number State |    NJ
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