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General NPI Number Information
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NPI Number | 1972293736
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Entity Type | Organization
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Legal Business Name | TRAILHEAD COUNSELING CENTER
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 760 CHIEF JUSTICE CUSHING HWY STE 1D
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City | COHASSET
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State | MA
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Zip | 02025-2124
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Country | US
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Telephone | 201-213-6228
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Fax |
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Provider Business Mailing Address
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Address Line | 90 CROSS ST
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City | NORWELL
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State | MA
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Zip | 02061-1423
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Country | US
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Telephone | 201-213-6228
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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. KASSANDRA MAREE FRENCH
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Credential | LMFT
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Telephone | 201-213-6228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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