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General NPI Number Information
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NPI Number | 1073168456
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Entity Type | Organization
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Legal Business Name | TREEVIEW STREET COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 1365 W GREEN HEDGE WAY
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City | WEST JORDAN
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State | UT
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Zip | 84084-4139
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Country | US
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Telephone | 801-889-8291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1015
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City | WEST JORDAN
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State | UT
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Zip | 84084-7015
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Country | US
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Telephone | 801-889-8291
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Fax | 385-202-0254
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID DONLEE ALLRED
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Credential | DMFT, LMFT
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Telephone | 801-889-8291
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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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