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General NPI Number Information
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NPI Number | 1881123867
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Entity Type | Organization
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Legal Business Name | ART THERAPY & CREATIVE COUNSELING
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 80 PLAINS RD UNIT 1
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City | ESSEX
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State | CT
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Zip | 06426
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Country | US
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Telephone | 860-754-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 149 MAIN ST
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City | EAST HAMPTON
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State | CT
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Zip | 06424-1124
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Country | US
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Telephone | 860-754-6234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER BUSHEY
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Credential |
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Telephone | 860-754-6234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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