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General NPI Number Information
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NPI Number | 1932325669
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Entity Type | Organization
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Legal Business Name | RIMMON POND COUNSELING LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 BANK STREET SUITE 306
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City | SEYMOUR
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State | CT
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Zip | 06483
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Country | US
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Telephone | 203-888-0462
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Fax | 203-888-1465
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Provider Business Mailing Address
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Address Line | 100 BANK STREET SUITE 306
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City | SEYMOUR
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State | CT
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Zip | 06483
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Country | US
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Telephone | 203-888-0462
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Fax | 203-888-1465
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MARY E KRUGER
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Credential | LMFT
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Telephone | 203-888-0462
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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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