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General NPI Number Information
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NPI Number | 1881978880
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 10/09/2011
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 29 TRUSSUM DRIVE
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City | MAGNOLIA
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State | DE
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Zip | 19962
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Country | US
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Telephone | 845-578-3178
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Fax | 302-469-5420
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Provider Business Mailing Address
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Address Line | P.O. BOX 168
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City | FELTON
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State | DE
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Zip | 19943
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Country | US
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Telephone | 845-518-3178
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Fax | 302-469-5420
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Authorized Official
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Title or Position | ADMINSITRATOR
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Name | MS. MARILYN GREEN
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Credential | LCSW-R
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Telephone | 845-473-2175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | RO46741-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | RO46741-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | RO46741-1
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License Number State | NY
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