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General NPI Number Information
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NPI Number | 1023790094
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Entity Type | Organization
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Legal Business Name | IN TANDEM COUNSELING, INC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 3250 RICE ST
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City | SAINT PAUL
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State | MN
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Zip | 55126-3080
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Country | US
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Telephone | 612-305-8606
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Fax |
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Provider Business Mailing Address
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Address Line | 908 COTTAGE AVE E
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City | SAINT PAUL
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State | MN
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Zip | 55106-1808
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Country | US
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Telephone | 612-236-5463
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KELLY HAASE
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Credential | LMFT
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Telephone | 612-305-8606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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