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General NPI Number Information
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NPI Number | 1265005441
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Entity Type | Organization
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Legal Business Name | VERITAS COUNSELING LLC
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 2642 HIGHWAY 109 STE F
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City | WILDWOOD
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State | MO
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Zip | 63040-1132
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Country | US
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Telephone | 314-874-7972
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Fax |
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Provider Business Mailing Address
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Address Line | 2642 HIGHWAY 109 STE F
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City | WILDWOOD
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State | MO
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Zip | 63040-1132
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Country | US
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Telephone | 314-874-7972
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | CHRISTINA ANN TISHER
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Credential | L.C.P.C., L.P.C.
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Telephone | 148-747-9723
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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 |
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License Number State |
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