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General NPI Number Information
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NPI Number | 1083127740
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Entity Type | Organization
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Legal Business Name | A NEW APPROACH COUNSELING LLC
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 963 S ORCHARD ST
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City | BOISE
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State | ID
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Zip | 83705-1939
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Country | US
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Telephone | 208-398-0504
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Fax |
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Provider Business Mailing Address
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Address Line | 4679 W GARDEN CT
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City | BOISE
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State | ID
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Zip | 83705-3986
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Country | US
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Telephone | 208-899-2227
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | JENA KATHLEEN SCHILDHAUER
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Credential | LCSW
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Telephone | 208-358-0504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | LCSW-37032
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License Number State | ID
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