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General NPI Number Information
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NPI Number | 1275076564
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Entity Type | Organization
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Legal Business Name | ARIA COUNSELING, LLC
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 6524 WALKER ST SUITE 209
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-4238
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Country | US
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Telephone | 612-216-0984
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Fax | 612-216-0984
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Provider Business Mailing Address
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Address Line | 17325 23RD AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55447-2269
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Country | US
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Telephone | 612-216-0984
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Fax | 612-216-0984
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Authorized Official
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Title or Position | THERAPIST
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Name | AMY MADSON
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Credential | LMFT, MTBC
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Telephone | 612-216-0984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2263
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License Number State | MN
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