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General NPI Number Information
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NPI Number | 1073432431
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Entity Type | Organization
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Legal Business Name | CLARKE COUNSELING LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 1314 30TH ST SW
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City | ROCHESTER
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State | MN
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Zip | 55902-1132
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Country | US
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Telephone | 714-906-5732
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 EASTGATE DR SE BOX 8028
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City | ROCHESTER
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State | MN
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Zip | 55904-5716
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Country | US
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Telephone | 714-906-5732
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAMANTHA DAY
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Credential | LCSW, LICSW, MSW
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Telephone | 714-906-5732
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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