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General NPI Number Information
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NPI Number | 1164232070
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Entity Type | Organization
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Legal Business Name | KR COUNSELING
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3152 COUNTY ROAD 74
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City | SAINT CLOUD
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State | MN
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Zip | 56301-8904
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Country | US
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Telephone | 320-492-9347
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Fax |
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Provider Business Mailing Address
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Address Line | 18687 COUNTY ROAD 9
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City | AVON
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State | MN
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Zip | 56310-9630
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Country | US
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Telephone | 320-492-9347
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KRYSTA RAE ROEMELING
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Credential | LPCC LADC
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Telephone | 320-492-9347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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