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General NPI Number Information
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NPI Number | 1215695416
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Entity Type | Organization
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Legal Business Name | BE WELL COUNSELING LLC
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Dates
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Enumeration Date | 12/04/2021
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Last Update Date | 12/04/2021
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Provider Practice Location Address
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Address Line | 540 WATER ST STE 202
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City | KETCHIKAN
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State | AK
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Zip | 99901-6378
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Country | US
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Telephone | 907-204-0630
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Fax | 907-290-2513
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Provider Business Mailing Address
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Address Line | 540 WATER ST STE 202
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City | KETCHIKAN
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State | AK
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Zip | 99901-6378
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Country | US
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Telephone | 907-204-0630
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Fax | 907-290-2513
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BRITTANY JOY POPE
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Credential | LPC
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Telephone | 907-204-0630
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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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