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General NPI Number Information
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NPI Number | 1922476100
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Entity Type | Organization
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Legal Business Name | HOPE HEALING AND HAPPINESS COUNSELING SERVICES
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 209 ROSS PL
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City | WESTFIELD
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State | NJ
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Zip | 07090-2515
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Country | US
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Telephone | 908-312-0417
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Fax |
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Provider Business Mailing Address
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Address Line | 417 HIGHLAND AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-3016
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Country | US
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Telephone | 908-312-0417
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MS. KRISTINA M COFONE
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Credential | LCSW
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Telephone | 908-312-0417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 44SC05617800
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License Number State | NJ
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