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General NPI Number Information
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NPI Number | 1285076638
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Entity Type | Individual
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Provider Name | HELEN JACKSON BLEICHER LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2013
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 500 WILLOW AVE SUITE 209
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-0827
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Country | US
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Telephone | 402-681-3520
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 STATE ORCHARD RD
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-3906
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Country | US
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Telephone | 402-681-3520
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001451
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License Number State | IA
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