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General NPI Number Information
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NPI Number | 1255162459
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Entity Type | Organization
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Legal Business Name | CALMER WATERS COUNSELING LLC
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1050 N 3RD STREET STE N
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City | LARAMIE
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State | WY
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Zip | 82070
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Country | US
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Telephone | 307-421-5320
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Fax |
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Provider Business Mailing Address
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Address Line | 514 E GRAND AVE PMB 149
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City | LARAMIE
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State | WY
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Zip | 82070
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Country | US
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Telephone | 307-421-5320
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Fax |
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Authorized Official
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Title or Position | THERAPIST/COUNSELOR
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Name | KADISON OWENS
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Credential | LPC, CRC, NCC
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Telephone | 678-347-5944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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