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General NPI Number Information
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NPI Number | 1891235511
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Entity Type | Organization
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Legal Business Name | VALUE LIFE COUNSELING
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 3200 SUNSET AVE STE 202
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City | OCEAN
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State | NJ
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Zip | 07712-4556
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Country | US
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Telephone | 732-962-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 81 PEMBERTON AVE
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City | OCEANPORT
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State | NJ
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Zip | 07757-1134
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Country | US
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Telephone | 732-962-5440
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHLEEN MARSH
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Credential | LCSW, LCADC
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Telephone | 732-962-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05601000
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License Number State | NJ
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