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General NPI Number Information
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NPI Number | 1871969600
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Entity Type | Organization
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Legal Business Name | CREATIVE COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 08/16/2015
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 18 KENNEDY LANE
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-708-1438
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Fax | 888-287-5926
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Provider Business Mailing Address
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Address Line | 18 KENNEDY LANE
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-708-1438
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Fax | 888-287-5926
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Authorized Official
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Title or Position | CLINICIAN, MEMBER
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Name | MRS. CHELSEA MARIE BEGIN
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Credential | LCMHC
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Telephone | 603-708-1438
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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 | 997
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License Number State | NH
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 997
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License Number State | NH
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