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General NPI Number Information
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NPI Number | 1336649011
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Entity Type | Organization
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Legal Business Name | MOLLY MURPHY COUNSELING
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 1515 FAIRVIEW AVE STE 240
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City | MISSOULA
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State | MT
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Zip | 59801-7821
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Country | US
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Telephone | 406-370-6696
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Fax |
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Provider Business Mailing Address
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Address Line | 4216 23RD AVE
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City | MISSOULA
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State | MT
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Zip | 59803-1147
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Country | US
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Telephone | 406-370-6696
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MOLLY K MURPHY
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Credential | LCPC
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Telephone | 406-370-6696
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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 | BBH-LCPC-LIC-17294
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License Number State |
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