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General NPI Number Information
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NPI Number | 1013295153
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Entity Type | Organization
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Legal Business Name | INNER STRENGTH COUNSELING, LLC
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 1025 1ST AVE W
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City | JASPER
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State | IN
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Zip | 47546-3217
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Country | US
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Telephone | 812-630-8580
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 1ST AVE W
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City | JASPER
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State | IN
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Zip | 47546-3217
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Country | US
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Telephone | 812-630-8580
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | MRS. JENNIFER A WEISHEIT
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Credential | MSW, LCSW
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Telephone | 812-630-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34004373A
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License Number State | IN
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