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General NPI Number Information
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NPI Number | 1346155959
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Entity Type | Individual
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Provider Name | CHRISTOFILI ATHANASIOS COOP LPCC, LADC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 2550 UNIVERSITY AVE W STE 435S
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City | SAINT PAUL
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State | MN
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Zip | 55114-1907
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Country | US
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Telephone | 651-647-1900
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Fax | 651-342-8023
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Provider Business Mailing Address
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Address Line | 2550 UNIVERSITY AVE W STE 435S
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City | SAINT PAUL
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State | MN
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Zip | 55114-1907
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Country | US
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Telephone | 651-647-1900
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Fax | 651-342-8023
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 306941
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5784
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License Number State | MN
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