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General NPI Number Information
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NPI Number | 1023812252
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Entity Type | Organization
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Legal Business Name | PORTSIDE COUNSELING LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 340 MICHIGAN ST SE
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City | HUTCHINSON
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State | MN
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Zip | 55350-1908
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Country | US
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Telephone | 320-296-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 19432 JUDSON CIR
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City | HUTCHINSON
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State | MN
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Zip | 55350-4337
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Country | US
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Telephone | 320-296-5009
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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 | KAITLIN ROONEY
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Credential | LMFT
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Telephone | 320-296-5009
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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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