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General NPI Number Information
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NPI Number | 1144520693
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Entity Type | Individual
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Provider Name | LISA M NEWELL M.S., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 1471 DEWAR DR STE 214
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5826
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Country | US
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Telephone | 307-228-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 1471 DEWAR DR STE 214
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5826
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Country | US
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Telephone | 307-228-5950
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 1469
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License Number State | WY
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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 | LPC-1469
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License Number State |
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