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General NPI Number Information
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NPI Number | 1861952673
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Entity Type | Organization
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Legal Business Name | COUNSELING FOR ALL
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 40 WILLARD ST
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City | QUINCY
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State | MA
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Zip | 02169-1252
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Country | US
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Telephone | 866-586-2393
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Fax | 617-410-5468
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Provider Business Mailing Address
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Address Line | 40 WILLARD ST
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City | QUINCY
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State | MA
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Zip | 02169-1252
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Country | US
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Telephone | 866-586-2393
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Fax | 617-410-5468
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. OMAR REID
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Credential | PSY.D
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Telephone | 866-586-2393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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