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General NPI Number Information
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NPI Number | 1922425347
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE THERAPIES LLC
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 276 BANK ST
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City | SEYMOUR
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State | CT
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Zip | 06483-2700
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Country | US
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Telephone | 203-231-6971
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Fax | 203-881-9098
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Provider Business Mailing Address
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Address Line | 80 BROOKFIELD RD
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City | SEYMOUR
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State | CT
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Zip | 06483-2378
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Country | US
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Telephone | 203-231-6971
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Fax | 203-881-9098
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Authorized Official
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Title or Position | OWNER
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Name | MS. FRANCINE G MESSIER
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Credential | LPC
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Telephone | 203-131-6971
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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 | 000500
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License Number State | CT
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