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General NPI Number Information
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NPI Number | 1033414925
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Entity Type | Organization
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Legal Business Name | CHILDREN & FAMILY COUNSELING LLC
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 515 N D ST
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City | FREMONT
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State | NE
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Zip | 68025-5051
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Country | US
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Telephone | 402-727-0776
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Fax | 402-727-0779
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Provider Business Mailing Address
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Address Line | PO BOX 2114
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City | FREMONT
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State | NE
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Zip | 68026-2114
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Country | US
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Telephone | 402-727-0776
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Fax | 402-727-0779
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. STEPHANIE LYNN KNOBBE
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Credential | LICSW, LIMHP, LMHP
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Telephone | 402-727-0776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1082
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6
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License Number State | NE
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