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General NPI Number Information
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NPI Number | 1043632920
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Entity Type | Organization
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Legal Business Name | INNERPEACE COUNSELING
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 801 ROBERTSON AVE
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City | WORLAND
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State | WY
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Zip | 82401-2717
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Country | US
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Telephone | 307-388-8591
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Fax |
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Provider Business Mailing Address
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Address Line | 801 ROBERTSON AVENUE
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City | WORLAND
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State | WY
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Zip | 82401
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Country | US
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Telephone | 307-431-2654
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DANIELLE WARREN
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Credential |
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Telephone | 307-388-8591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PPC-773
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-1317
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License Number State | WY
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