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General NPI Number Information
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NPI Number | 1033236344
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Entity Type | Individual
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Provider Name | DANIEL L. GREGERSON LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 690 N MERIDIAN RD STE 204
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City | KALISPELL
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State | MT
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Zip | 59901-3508
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Country | US
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Telephone | 406-249-5611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 935
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City | MARION
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State | MT
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Zip | 59925-0935
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Country | US
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Telephone | 406-249-5611
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 838-LCPC
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License Number State | MT
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