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General NPI Number Information
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NPI Number | 1255620167
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Entity Type | Organization
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Legal Business Name | CS COUNSELING, LLC
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 1000 W 29TH ST STE 320
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-3870
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Country | US
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Telephone | 402-913-0552
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 894
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City | PONCA
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State | NE
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Zip | 68770-0894
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Country | US
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Telephone | 308-631-9456
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CASSI STARK
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Credential | LIMHP, LMHP
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Telephone | 308-631-9456
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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 | 854
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License Number State | NE
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