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General NPI Number Information
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NPI Number | 1356968630
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Entity Type | Individual
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Provider Name | CHRISTOPHER A PERCY LPCC
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Gender | Male
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 15489 45TH ST S
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City | AFTON
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State | MN
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Zip | 55001-9681
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Country | US
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Telephone | 651-300-1615
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Fax | 651-300-2745
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Provider Business Mailing Address
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Address Line | PO BOX 252
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City | WANAMINGO
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State | MN
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Zip | 55983-0252
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Country | US
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Telephone | 207-814-7303
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | XL5585
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License Number State | ME
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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 | CC04828
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License Number State | MN
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