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General NPI Number Information
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NPI Number | 1043426471
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Entity Type | Organization
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Legal Business Name | RORY RIES COUNSELING SERVICES
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 118 N 2ND ST
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2834
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Country | US
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Telephone | 636-328-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MEADOW LN
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City | FESTUS
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State | MO
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Zip | 63028-4651
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Country | US
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Telephone | 636-933-4995
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MR. RORY A RIES
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Credential | LPC
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Telephone | 636-328-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 002211
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License Number State | MO
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