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General NPI Number Information
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NPI Number | 1275481780
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Entity Type | Organization
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Legal Business Name | DENALI RIDGE COUSELING
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 380 W STATE ST
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City | EAGLE
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State | ID
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Zip | 83616-4902
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Country | US
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Telephone | 208-631-0173
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Fax |
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Provider Business Mailing Address
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Address Line | 380 W STATE ST
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City | EAGLE
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State | ID
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Zip | 83616-4902
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Country | US
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Telephone | 208-631-0172
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN SMITH-KRAHN
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Credential | LPC
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Telephone | 208-631-0173
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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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