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General NPI Number Information
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NPI Number | 1306548938
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Entity Type | Individual
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Provider Name | COLLEEN MARY TURK MS, LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 65 COMMONS WAY
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City | KALISPELL
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State | MT
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Zip | 59901-1908
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Country | US
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Telephone | 406-471-0165
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Fax |
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Provider Business Mailing Address
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Address Line | 65 COMMONS WAY
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City | KALISPELL
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State | MT
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Zip | 59901-1908
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Country | US
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Telephone | 406-471-0165
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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 | BBH-LCPC-LIC-64852
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-64852
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License Number State | MT
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