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General NPI Number Information
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NPI Number | 1922633148
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Entity Type | Organization
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Legal Business Name | KOR COUNSELING, LLC.
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 1115 BROADWAY STE 1117
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City | NEW YORK
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State | NY
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Zip | 10010-3450
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Country | US
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Telephone | 201-575-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 318 36TH ST
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City | UNION CITY
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State | NJ
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Zip | 07087-4710
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Country | US
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Telephone | 201-575-0266
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CAITLIN FERRER
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Credential | LMHC
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Telephone | 646-535-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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