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General NPI Number Information
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NPI Number | 1285696906
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 110 N IOWA AVE SUITE 510
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City | WASHINGTON
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State | IA
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Zip | 52353
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Country | US
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Telephone | 319-653-2032
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Fax | 319-653-2301
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Provider Business Mailing Address
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Address Line | 110 N IOWA AVE SUITE 510
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City | WASHINGTON
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State | IA
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Zip | 52353
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Country | US
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Telephone | 319-653-2032
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Fax | 319-653-2301
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Authorized Official
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Title or Position | OWNER
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Name | GLORIA REHA
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Credential | LISW ACSW
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Telephone | 319-653-2032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 02141
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License Number State | IA
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