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General NPI Number Information
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NPI Number | 1376062737
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Entity Type | Organization
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Legal Business Name | NEXT STEP COUNSELING LLC
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 09/15/2017
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Provider Practice Location Address
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Address Line | 1400 STATE ROUTE F STE 103
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City | WAYNESVILLE
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State | MO
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Zip | 65583-2831
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Country | US
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Telephone | 573-855-1007
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Fax | 314-667-0554
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Provider Business Mailing Address
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Address Line | 22515 REPORTER RD
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City | WAYNESVILLE
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State | MO
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Zip | 65583-2771
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Country | US
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Telephone | 573-855-1007
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MR. GREGORY BROCK HUSSEY
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Credential | LPC
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Telephone | 573-855-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2013036409
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License Number State | MO
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