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General NPI Number Information
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NPI Number | 1336270354
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Entity Type | Individual
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Provider Name | VALERIE FREED LPC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 3407 BERRYWOOD DR SUITE 200
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City | COLUMBIA
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State | MO
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Zip | 65201-6500
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Country | US
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Telephone | 573-443-1177
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Fax | 573-449-1564
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Provider Business Mailing Address
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Address Line | PO BOX 6880
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City | JEFFERSON CITY
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State | MO
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Zip | 65102-6880
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Country | US
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Telephone | 573-584-0158
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Fax | 573-584-0159
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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 | 2002006736
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License Number State | MO
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