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General NPI Number Information
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NPI Number | 1912397241
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Entity Type | Individual
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Provider Name | LATOYA SMALLS PHD., LPC, BSL, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 370 MEMORIAL PARKWAY FAMILY GUIDANCE CENTER OF WARREN COUNTY
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1580
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Country | US
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Telephone | 908-454-4470
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Fax | 908-454-5317
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Provider Business Mailing Address
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Address Line | 2184 WHITE OAK DR
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-8375
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Country | US
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Telephone | 917-753-9597
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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 | 37PC01117200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH001067
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC017419
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License Number State | PA
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