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General NPI Number Information
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NPI Number | 1073154175
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Entity Type | Organization
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Legal Business Name | A BETTER LIFE COUNSELING PLLC
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 4948 W KOOTENAI ST STE 102
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City | BOISE
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State | ID
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Zip | 83705-2081
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Country | US
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Telephone | 208-391-1309
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Fax |
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Provider Business Mailing Address
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Address Line | 4948 W KOOTENAI ST STE 102
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City | BOISE
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State | ID
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Zip | 83705-2081
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Country | US
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Telephone | 208-391-1309
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | NORMA ALICIA GUILLEN
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Credential | LCSW
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Telephone | 208-391-1309
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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 |
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License Number State |
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