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General NPI Number Information
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NPI Number | 1992431209
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Entity Type | Organization
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Legal Business Name | TRI-META COUNSELING & ASSOCIATES
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 70 PARK ST STE 104
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2960
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Country | US
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Telephone | 862-234-5029
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PARK ST STE 104
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2960
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Country | US
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Telephone | 848-628-4027
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | REBECCA GILLESPIE
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Credential | MA, LMFT
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Telephone | 336-932-3995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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