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General NPI Number Information
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NPI Number | 1053166173
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Entity Type | Organization
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Legal Business Name | COME AS YOU ARE COUNSELING, LLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 514 E JACKSON ST
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City | MENTONE
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State | IN
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Zip | 46539-9724
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Country | US
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Telephone | 317-373-0671
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Fax |
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Provider Business Mailing Address
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Address Line | 514 E JACKSON ST
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City | MENTONE
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State | IN
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Zip | 46539-9724
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Country | US
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Telephone | 317-373-0671
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MARY MARGARET BRAUER
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Credential | LCSW
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Telephone | 317-373-0671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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