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General NPI Number Information
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NPI Number | 1043512338
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Entity Type | Organization
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Legal Business Name | A HELPING PLACE COUNSELING LLC
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 4165 GREENMEADOW DR
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City | MERIDIAN
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State | ID
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Zip | 83646-5813
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Country | US
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Telephone | 208-375-0129
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Fax | 208-345-2077
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Provider Business Mailing Address
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Address Line | 6003 W OVERLAND RD STE 101
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City | BOISE
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State | ID
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Zip | 83709-3073
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Country | US
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Telephone | 208-695-1435
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Fax | 208-345-2077
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MILDRED ANN TIKKER
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Credential | L.C.S.W.
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Telephone | 208-695-1435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW-846
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License Number State | ID
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