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General NPI Number Information
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NPI Number | 1104434422
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Entity Type | Organization
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Legal Business Name | GRACE COUNSELING, PLLC
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 2048 OVERLAND AVE STE 101
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City | BILLINGS
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State | MT
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Zip | 59102-7428
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Country | US
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Telephone | 406-702-7022
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Fax | 855-622-8232
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Provider Business Mailing Address
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Address Line | PO BOX 80932
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City | BILLINGS
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State | MT
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Zip | 59108-0932
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Country | US
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Telephone | 406-702-7022
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Fax | 855-622-8232
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Authorized Official
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Title or Position | OWNER
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Name | DORRIE D RUTH
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Credential | LCSW
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Telephone | 406-633-1890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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