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General NPI Number Information
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NPI Number | 1104020403
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Entity Type | Organization
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Legal Business Name | YELLOWSTONE COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 208 N 28TH ST SUITE 423
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City | BILLINGS
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State | MT
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Zip | 59101-1937
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Country | US
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Telephone | 406-896-8427
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Fax | 406-245-5980
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Provider Business Mailing Address
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Address Line | 208 N 28TH ST SUITE 423
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City | BILLINGS
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State | MT
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Zip | 59101-1937
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Country | US
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Telephone | 406-896-8427
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Fax | 406-245-5980
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Authorized Official
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Title or Position | OWNER
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Name | KELLY L. CHRISTY
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Credential | LCPC
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Telephone | 406-896-8427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 454
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License Number State | MT
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