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General NPI Number Information
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NPI Number | 1922765460
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Entity Type | Organization
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Legal Business Name | EAST OF THE SEA COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 15 DARTMOUTH DR UNIT 102
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City | AUBURN
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State | NH
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Zip | 03032-3982
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Country | US
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Telephone | 603-237-1812
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Fax | 696-034-0377
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Provider Business Mailing Address
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Address Line | 15 DARTMOUTH DR UNIT 102
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City | AUBURN
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State | NH
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Zip | 03032-3982
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Country | US
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Telephone | 603-237-1812
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Fax | 696-034-0377
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Authorized Official
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Title or Position | THERAPIST
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Name | JESSICA S WHITNEY
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Credential | LCMHC
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Telephone | 603-237-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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