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General NPI Number Information
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NPI Number | 1073381927
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Entity Type | Organization
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Legal Business Name | ASCENDING MOUNTAINS COUNSELING LLC
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 963 S ORCHARD ST STE 101
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City | BOISE
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State | ID
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Zip | 83705-1917
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Country | US
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Telephone | 208-487-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 6940 W ASHLAND DR
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City | BOISE
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State | ID
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Zip | 83709-1914
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Country | US
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Telephone | 208-830-9540
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | FRANCES BEVILL
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Credential | LPC
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Telephone | 208-830-9540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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