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General NPI Number Information
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NPI Number | 1336737238
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Entity Type | Organization
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Legal Business Name | COMPASS SOLUTIONS, PLLC
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 156 MCCLURE AVE
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City | NAMPA
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State | ID
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Zip | 83651-2025
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Country | US
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Telephone | 208-871-4858
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Fax |
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Provider Business Mailing Address
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Address Line | 2357 HAW CREEK BLVD
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City | EMMETT
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State | ID
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Zip | 83617-9601
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Country | US
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Telephone | 208-278-8942
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON JOHNSON
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Credential | LCSW
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Telephone | 208-994-6458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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