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NPI 1336503903

NPI 1336503903 : CRYSTAL DELL MORTON LIMHP, LMHC, LPCC : PACIFIC JUNCTION, IA

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General NPI Number Information
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    NPI Number           |    1336503903
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    Entity Type          |    Individual 
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    Provider Name        |    CRYSTAL DELL MORTON LIMHP, LMHC, LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/11/2016
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    Last Update Date     |    02/05/2024
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Provider Practice Location Address
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    Address Line         |    54919 DEACON RD 
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    City                 |    PACIFIC JUNCTION
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    State                |    IA
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    Zip                  |    51561-4165
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    Country              |    US
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    Telephone            |    402-680-6429
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    Fax                  |    712-215-8178
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Provider Business Mailing Address
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    Address Line         |    54919 DEACON RD 
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    City                 |    PACIFIC JUNCTION
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    State                |    IA
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    Zip                  |    51561-4165
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    Country              |    US
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    Telephone            |    402-680-6429
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    Fax                  |    712-215-8178
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    1953
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    License Number State |    NE
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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       |    3122
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    1384
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    License Number State |    NE
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Taxonomy #4
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    094594
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    License Number State |    IA
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Taxonomy #5
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2416
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    License Number State |    NE
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Taxonomy #6
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    1953
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    License Number State |    NE
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