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General NPI Number Information
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NPI Number | 1902115876
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Entity Type | Individual
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Provider Name | LAURIE CATHERINE PELS-ROULIER M.S., LPC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 237 E CENTER ST
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City | MANCHESTER
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State | CT
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Zip | 06040-5245
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Country | US
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Telephone | 860-942-6390
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Fax |
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Provider Business Mailing Address
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Address Line | 29 JOEL DR
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City | HEBRON
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State | CT
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Zip | 06248-1245
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Country | US
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Telephone | 860-729-3110
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 001280
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License Number State | CT
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