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General NPI Number Information
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NPI Number | 1922823590
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Entity Type | Organization
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Legal Business Name | ROCK HAVEN COUNSELING
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 269 HANOVER ST STE 2
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City | HANOVER
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State | MA
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Zip | 02339-2245
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Country | US
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Telephone | 781-312-8434
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Fax |
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Provider Business Mailing Address
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Address Line | 491 E WASHINGTON ST
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City | HANSON
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State | MA
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Zip | 02341-1133
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Country | US
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Telephone | 781-312-8434
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA M JOHNSTON
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Credential | LMHC
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Telephone | 781-312-8434
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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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