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General NPI Number Information
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NPI Number | 1366605305
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Entity Type | Individual
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Provider Name | ESTEVAN VENTURA DELEON MS,LCPC,LAC
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 1127 ALDERSON AVE
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City | BILLINGS
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State | MT
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Zip | 59102-4200
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Country | US
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Telephone | 406-245-7318
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Fax | 406-248-5912
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Provider Business Mailing Address
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Address Line | 1127 ALDERSON AVE
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City | BILLINGS
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State | MT
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Zip | 59102-4200
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Country | US
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Telephone | 406-245-7318
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Fax | 406-248-5912
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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 | 1100
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1273
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License Number State | MT
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