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NPI 1376325399

NPI 1376325399 : VERITAS CONSULTING AND COUNSELING SERVICES : KENAI, AK

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General NPI Number Information
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    NPI Number           |    1376325399
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    Entity Type          |    Organization 
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    Legal Business Name  |    VERITAS CONSULTING AND COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    10/16/2023
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    Last Update Date     |    10/16/2023
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Provider Practice Location Address
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    Address Line         |    610 ATTLA WAY STE 10 
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    City                 |    KENAI
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    State                |    AK
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    Zip                  |    99611-7777
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    Country              |    US
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    Telephone            |    907-209-5544
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    175 N. BINKLEY ST. #1953 
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    City                 |    SOLDOTNA
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    State                |    AK
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    Zip                  |    99669
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    Country              |    US
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    Telephone            |    907-209-5544
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ THERAPIST
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    Name                 |    MS. MICHELLE DEBORAH BURLIN 
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    Credential           |    JD, MA, LPC
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    Telephone            |    907-209-5544
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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       |    
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    License Number State |    
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