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General NPI Number Information
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NPI Number | 1275136228
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Entity Type | Organization
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Legal Business Name | TOOELE VALLEY COUNSELING PLLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 1244 N MAIN ST STE 202
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City | TOOELE
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State | UT
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Zip | 84074-5009
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Country | US
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Telephone | 435-850-7378
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Fax | 435-200-4364
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Provider Business Mailing Address
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Address Line | 28 N MAIN ST STE 1
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City | TOOELE
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State | UT
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Zip | 84074-2139
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Country | US
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Telephone | 435-850-7378
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DARCI D ALSTON
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Credential | LCMHW
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Telephone | 435-850-7378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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