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General NPI Number Information
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NPI Number | 1992289540
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Entity Type | Organization
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Legal Business Name | EXPRESSIONS COUNSELING SERVICES LTD.
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 222 E PRESQUEISLE ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-1641
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Country | US
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Telephone | 814-496-9141
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Fax | 814-826-4555
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Provider Business Mailing Address
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Address Line | 2529 PORT MATILDA HWY
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City | PHILIPSBURG
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State | PA
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Zip | 16866-3135
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Country | US
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Telephone | 814-496-9141
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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. CHRISTIE BUSH
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Credential | LPC
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Telephone | 814-496-9141
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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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