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General NPI Number Information
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NPI Number | 1023875366
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Entity Type | Organization
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Legal Business Name | TELOS COUNSELING, LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 8673 EAGLE POINT BLVD STE 203
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City | LAKE ELMO
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State | MN
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Zip | 55042-8661
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Country | US
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Telephone | 612-217-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 4141 OLD SIBLEY MEMORIAL HWY
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City | EAGAN
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State | MN
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Zip | 55122-1996
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Country | US
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Telephone | 612-217-0650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN DREWIANKA
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Credential | LPPC
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Telephone | 952-240-1849
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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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