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General NPI Number Information
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NPI Number | 1235748294
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 1807 E MARY ST STE 6
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City | GARDEN CITY
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State | KS
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Zip | 67846-3877
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Country | US
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Telephone | 785-477-0188
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 E MARY ST STE 5
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City | GARDEN CITY
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State | KS
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Zip | 67846-3877
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Country | US
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Telephone | 620-315-4073
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Fax | 620-315-4320
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Authorized Official
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Title or Position | OUTPATIENT CLINICIAN
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Name | MRS. ELYSE SELZER
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Credential | LMSW, LSCSW, LCAC
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Telephone | 620-315-4073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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