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General NPI Number Information
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NPI Number | 1881071082
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Entity Type | Organization
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Legal Business Name | LEANA SYKES RELATIONSHIP COUNSELING
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 304 NEWTON AVE STE 140A
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City | OAKLYN
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State | NJ
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Zip | 08107-1446
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Country | US
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Telephone | 856-477-3142
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Fax | 856-624-3475
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Provider Business Mailing Address
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Address Line | 304 NEWTON AVE STE 140A
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City | OAKLYN
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State | NJ
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Zip | 08107-1446
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Country | US
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Telephone | 856-477-3142
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LEANA SYKES
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Credential | M.ED, LPC
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Telephone | 856-477-3142
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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 | 37PC00502200
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License Number State | NJ
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