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General NPI Number Information
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NPI Number | 1275247744
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Entity Type | Organization
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Legal Business Name | RIVER'S EDGE COUNSELING LLC
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 555 FULLER AVE STE 5
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City | HELENA
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State | MT
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Zip | 59601-3394
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Country | US
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Telephone | 406-410-3212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 120
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City | CLANCY
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State | MT
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Zip | 59634-0120
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Country | US
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Telephone | 406-410-3212
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | RACHEL ANN MARTIN
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Credential | LMFT
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Telephone | 406-410-3212
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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 |
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License Number State |
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