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General NPI Number Information
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NPI Number | 1306125943
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Entity Type | Organization
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Legal Business Name | ANGER MANAGEMENT ASSOCIATES
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Dates
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Enumeration Date | 08/14/2011
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Last Update Date | 08/14/2011
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Provider Practice Location Address
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Address Line | 1475 FAIRGROUNDS RD SUITE 128
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2468
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Country | US
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Telephone | 636-724-6880
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Fax | 636-724-6933
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Provider Business Mailing Address
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Address Line | 1475 FAIRGROUNDS RD SUITE 128
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2468
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Country | US
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Telephone | 636-724-6880
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Fax | 636-724-6933
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. GINA L MILLS
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Credential | ED.D.
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Telephone | 636-724-6880
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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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