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General NPI Number Information
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NPI Number | 1912632225
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Entity Type | Individual
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Provider Name | ASHLE BROOKE HUPCHICK LADC LPC
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Gender | Female
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 12 BIRCHWOOD DR
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City | NEW MILFORD
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State | CT
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Zip | 06776-2304
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Country | US
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Telephone | 203-917-0403
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Fax | 860-813-7754
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Provider Business Mailing Address
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Address Line | 12 BIRCHWOOD DR
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City | NEW MILFORD
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State | CT
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Zip | 06776-2304
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Country | US
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Telephone | 203-917-0403
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Fax | 860-813-7754
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0001445
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5697
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License Number State | CT
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