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NPI 1366306185

NPI 1366306185 : SHANNON KARSTEN LLC. DBA FREE SPIRIT COUNSELING : OWATONNA, MN

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General NPI Number Information
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    NPI Number           |    1366306185
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHANNON KARSTEN LLC. DBA FREE SPIRIT COUNSELING 
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Dates
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    Enumeration Date     |    12/15/2025
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    207 W HOLLY ST 
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    City                 |    OWATONNA
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    State                |    MN
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    Zip                  |    55060-3959
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    Country              |    US
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    Telephone            |    507-475-9548
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    133 SOUTHVIEW ST 
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    City                 |    OWATONNA
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    State                |    MN
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    Zip                  |    55060-3223
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    Country              |    US
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    Telephone            |    507-475-9548
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICSW THERAPIST
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    Name                 |     SHANNON SPIRIT HOUSE KARSTEN 
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    Credential           |    LICSW
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    Telephone            |    507-475-9548
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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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