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General NPI Number Information
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NPI Number | 1245920685
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Entity Type | Organization
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Legal Business Name | TRANSCENDENCE COUNSELING
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 101 RIVER DR N
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City | GREAT FALLS
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State | MT
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Zip | 59401-2599
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Country | US
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Telephone | 406-465-0963
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Fax | 406-403-0397
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Provider Business Mailing Address
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Address Line | PO BOX 2532
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City | GREAT FALLS
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State | MT
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Zip | 59403-2532
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Country | US
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Telephone | 406-465-0963
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Fax | 406-403-0397
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | DESTINY FREIBURG
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Credential | LCPC
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Telephone | 406-465-0963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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