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General NPI Number Information
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NPI Number | 1871218446
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Entity Type | Organization
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Legal Business Name | SANDPIPER COUNSELING LLC
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 2206 OLD EMMORTON RD STE 100-309
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City | BEL AIR
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State | MD
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Zip | 21015-6172
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Country | US
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Telephone | 410-405-7515
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26
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City | AIRVILLE
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State | PA
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Zip | 17302-0026
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Country | US
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Telephone | 719-210-1420
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Fax |
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Authorized Official
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Title or Position | MANAGER/THERAPIST
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Name | MALGORZATA NUSSBAUM
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Credential | MA, LCMFT, LMFT, LAC
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Telephone | 719-210-1420
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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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