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General NPI Number Information
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NPI Number | 1215625439
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Entity Type | Organization
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Legal Business Name | KELSEY MCGILL COUNSELING, PLLC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 415 N HIGGINS AVE STE 12
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City | MISSOULA
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State | MT
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Zip | 59802-4559
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Country | US
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Telephone | 518-420-3139
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Fax |
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Provider Business Mailing Address
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Address Line | 415 N HIGGINS AVE STE 12
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City | MISSOULA
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State | MT
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Zip | 59802-4559
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Country | US
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Telephone | 518-420-3139
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | KELSEY MCGILL
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Credential | MA, PCLC, NCC
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Telephone | 518-420-3139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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