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General NPI Number Information
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NPI Number | 1154142925
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Entity Type | Organization
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Legal Business Name | KIND COUNSELING OF MONTANA
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 321 E MAIN ST STE 317
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City | BOZEMAN
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State | MT
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Zip | 59715-4721
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Country | US
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Telephone | 406-579-2743
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 UPPER RAINBOW RD
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City | BOZEMAN
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State | MT
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Zip | 59718-7647
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Country | US
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Telephone | 406-579-2743
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH WILSON
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Credential | LCSW
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Telephone | 406-579-2743
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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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