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General NPI Number Information
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NPI Number | 1972166825
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Entity Type | Organization
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Legal Business Name | INHERENTLY GOOD COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 2 N MAIN ST
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City | SAINT ALBANS
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State | VT
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Zip | 05478-1790
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Country | US
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Telephone | 802-255-8801
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WILSON RD
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City | FAIRFAX
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State | VT
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Zip | 05454-4409
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JACQUELINE ESANCY
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Credential |
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Telephone | 802-760-0304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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