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General NPI Number Information
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NPI Number | 1235432014
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Entity Type | Organization
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Legal Business Name | TWIN CITIES COUNSELING, LLC
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 1937 WOODLANE DR SUITE 204
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City | WOODBURY
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State | MN
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Zip | 55125-3926
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Country | US
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Telephone | 651-731-9191
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Fax | 651-731-9177
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Provider Business Mailing Address
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Address Line | 1937 WOODLANE DR SUITE 204
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City | WOODBURY
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State | MN
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Zip | 55125-3926
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Country | US
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Telephone | 651-731-9191
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Fax | 651-731-9177
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | LINDA FLISS
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Credential | LMFT
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Telephone | 651-731-9191
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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 | 1831
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License Number State | MN
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