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General NPI Number Information
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NPI Number | 1285411199
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Entity Type | Organization
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Legal Business Name | JUST THIS MOMENT MINDFUL PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 302 DICKENS ST
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City | PARKERSBURG
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State | IA
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Zip | 50665-2034
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Country | US
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Telephone | 319-883-1144
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Fax | 319-472-0024
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Provider Business Mailing Address
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Address Line | 302 DICKENS ST
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City | PARKERSBURG
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State | IA
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Zip | 50665-2034
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Country | US
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Telephone | 319-883-1144
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Fax | 319-472-0024
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | CANZADIE AUTUMN OZBOURNE NIGRO
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Credential | LMHC
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Telephone | 319-883-1144
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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 |
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License Number State |
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