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General NPI Number Information
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NPI Number | 1336578442
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS COUNSELING GROUP
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 423 N MARKET ST
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City | MARYVILLE
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State | MO
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Zip | 64468
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Country | US
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Telephone | 660-562-3000
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Fax | 660-562-3002
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Provider Business Mailing Address
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Address Line | 423 N MARKET ST
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City | MARYVILLE
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State | MO
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Zip | 64468-1614
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Country | US
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Telephone | 660-562-3000
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Fax | 660-562-3002
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Authorized Official
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Title or Position | COO/COUNSELOR
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Name | MS. MICHELLE ANN JONES
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Credential | LCSW, CRADC, CS, COO
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Telephone | 660-562-3000
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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 | 6559
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2013037934
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License Number State | MO
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