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General NPI Number Information
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NPI Number | 1174984736
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Entity Type | Organization
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Legal Business Name | CATALYST COUNSELING, PLLC
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 1119 W KENT AVE STE K
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City | MISSOULA
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State | MT
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Zip | 59801-6687
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Country | US
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Telephone | 406-207-1068
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17213
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City | MISSOULA
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State | MT
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Zip | 59808-7213
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Country | US
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Telephone | 406-207-1068
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BRENDA R ERDELYI
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Credential |
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Telephone | 406-207-1068
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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 | 849
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License Number State | MT
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