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General NPI Number Information
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NPI Number | 1093180309
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Entity Type | Organization
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Legal Business Name | MYRIAD COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 4525 E SKYLINE DR SUITE 114
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City | TUCSON
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State | AZ
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Zip | 85718-1666
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Country | US
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Telephone | 520-395-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 4525 E SKYLINE DR SUITE 114
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City | TUCSON
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State | AZ
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Zip | 85718-1666
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | LISA GOLDSTONE
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Credential | MS, PHARMD
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Telephone | 520-395-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number |
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License Number State |
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Taxonomy #3
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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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