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General NPI Number Information
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NPI Number | 1023787330
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Entity Type | Organization
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Legal Business Name | QUALITY LIVING COUNSELING, PC
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 01/15/2022
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Provider Practice Location Address
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Address Line | 4897 MILLER TRUNK HWY STE 217
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City | HERMANTOWN
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State | MN
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Zip | 55811-1936
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Country | US
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Telephone | 218-576-5700
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Fax | 218-520-2995
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Provider Business Mailing Address
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Address Line | 4897 MILLER TRUNK HWY STE 217
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City | HERMANTOWN
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State | MN
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Zip | 55811-1936
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Country | US
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Telephone | 218-576-5700
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Fax | 218-520-2995
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA SCOTT
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Credential | MA, LPCC
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Telephone | 218-576-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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