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General NPI Number Information
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NPI Number | 1285453175
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Entity Type | Organization
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Legal Business Name | INSIGHT WITHIN PSYCHOTHERAPY
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 194 WALDEN DR
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City | EUREKA
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State | MO
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Zip | 63025-1128
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Country | US
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Telephone | 618-977-0831
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 LOCUST ST STE 260
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City | SAINT LOUIS
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State | MO
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Zip | 63101-1103
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Country | US
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Telephone | 618-789-3152
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MR. CHRISTOPHER LLOYD JEFFREY
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Credential | LCSW
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Telephone | 618-789-3152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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