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General NPI Number Information
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NPI Number | 1124392204
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Entity Type | Organization
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Legal Business Name | WESTON COUNSELING, LLC
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 3237 W 16TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-2704
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Country | US
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Telephone | 317-691-6672
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Fax | 317-638-4163
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Provider Business Mailing Address
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Address Line | PO BOX 88442
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-0442
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Country | US
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Telephone | 317-691-6672
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Fax | 317-638-4163
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Authorized Official
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Title or Position | OWNER
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Name | NUN KATHERINE WESTON
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Credential | MA, LMHC
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Telephone | 317-691-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 39002315A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39002315A
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License Number State | IN
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