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General NPI Number Information
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NPI Number | 1942627815
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Entity Type | Organization
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Legal Business Name | GOOD CHOICES COUNSELING, LLC
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 1022A NORTH MAIN STREET EXTENSION
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City | BUTLER
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State | PA
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Zip | 16001
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Country | US
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Telephone | 724-991-0534
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Fax |
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Provider Business Mailing Address
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Address Line | 1022A N. MAIN ST. EXT. AVADA BUILDING
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City | BUTLER
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State | PA
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Zip | 16001-1954
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Country | US
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Telephone | 724-991-0048
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MRS. SUSAN ROSALES BELLA-NESBITT
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Credential | LPC
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Telephone | 724-991-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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