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NPI 1245393537

NPI 1245393537 : KATHERINE S. DUNLAP MS, LCPC, CRC, CLCP : LIVINGSTON, MT

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General NPI Number Information
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    NPI Number           |    1245393537
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE S. DUNLAP MS, LCPC, CRC, CLCP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    103 1 2 MAIN STREET SUITE 3
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    City                 |    LIVINGSTON
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    State                |    MT
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    Zip                  |    59047-3026
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    Country              |    US
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    Telephone            |    406-222-0814
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    Fax                  |    406-222-3325
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1826 
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    City                 |    LIVINGSTON
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    State                |    MT
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    Zip                  |    59047-4703
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    Country              |    US
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    Telephone            |    406-222-0814
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    Fax                  |    406-222-3325
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    1055
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    License Number State |    MT
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