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General NPI Number Information
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NPI Number | 1124770276
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Entity Type | Organization
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Legal Business Name | TOM GUTSCHENRITTER LCSW
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 307 1ST AVE E STE 5
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City | KALISPELL
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State | MT
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Zip | 59901-4965
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Country | US
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Telephone | 406-781-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 307 1ST AVE E STE 5
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City | KALISPELL
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State | MT
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Zip | 59901-4965
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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 | MENTAL HEALTH THERAPIST
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Name | TOM GUTSCHENRITTER
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Credential | LCSW
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Telephone | 406-781-8581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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