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NPI 1336339282

NPI 1336339282 : WESTSIDE CENTER FOR COUNSELING : CARSON CITY, NV

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General NPI Number Information
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    NPI Number           |    1336339282
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTSIDE CENTER FOR COUNSELING 
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Dates
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    Enumeration Date     |    07/26/2007
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    Last Update Date     |    07/26/2007
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Provider Practice Location Address
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    Address Line         |    205 S MINNESOTA ST 
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    City                 |    CARSON CITY
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    State                |    NV
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    Zip                  |    89703-4269
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    Country              |    US
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    Telephone            |    775-882-0687
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    Fax                  |    775-882-9043
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Provider Business Mailing Address
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    Address Line         |    205 S MINNESOTA ST 
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    City                 |    CARSON CITY
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    State                |    NV
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    Zip                  |    89703-4269
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    Country              |    US
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    Telephone            |    775-882-0687
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    Fax                  |    775-882-9043
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CAROL J AALBERS 
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    Credential           |    PH.D.
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    Telephone            |    775-882-0687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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