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General NPI Number Information
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NPI Number | 1316713175
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Entity Type | Organization
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Legal Business Name | KELSEY PIERCE COUNSELING
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 110 W 31ST ST
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City | BOISE
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State | ID
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Zip | 83714-6605
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Country | US
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Telephone | 208-917-1740
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Fax |
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Provider Business Mailing Address
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Address Line | 1904 N JUSTIN AVE
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City | MERIDIAN
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State | ID
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Zip | 83646-6517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | KELSEY KATHLEEN PIERCE
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Credential | LCPC
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Telephone | 208-917-1740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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