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General NPI Number Information
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NPI Number | 1356831051
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Entity Type | Organization
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Legal Business Name | KARA PILON REIL COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 3340 REPUBLIC AVE
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-4154
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Country | US
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Telephone | 763-559-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 3340 REPUBLIC AVE
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-4154
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Country | US
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Telephone | 612-567-7364
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Fax | 612-926-8526
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Authorized Official
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Title or Position | LICENSED PROF. CLINICAL COUNSELOR
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Name | KARA E PILON REIL
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Credential | M.A., LPCC
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Telephone | 612-388-9602
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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 | 00201
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License Number State | MN
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