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General NPI Number Information
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NPI Number | 1972735975
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Entity Type | Organization
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Legal Business Name | ALLIANCE COUNSELING & THERAPEUTIC
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | 53 STILES RD SUITE B202
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City | SALEM
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State | NH
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Zip | 03079-2889
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Country | US
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Telephone | 603-952-4630
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Fax | 603-952-4631
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Provider Business Mailing Address
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Address Line | 53 STILES RD SUITE B202
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City | SALEM
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State | NH
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Zip | 03079-2889
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Country | US
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Telephone | 603-952-4630
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Fax | 603-952-4631
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. ELIZABETH PALLADINO
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Credential | LICSW
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Telephone | 603-952-4630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2239
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0648
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115020
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 113679
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1472
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License Number State | NH
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1461
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 114829
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1475
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License Number State | NH
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