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General NPI Number Information
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NPI Number | 1386262343
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Entity Type | Organization
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Legal Business Name | HALABRIN MARTY AND ASSOCIATES
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1032 17TH ST SE
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City | FOREST LAKE
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State | MN
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Zip | 55025-2022
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Country | US
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Telephone | 763-421-1042
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Fax | 952-241-9225
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Provider Business Mailing Address
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Address Line | 1032 17TH ST SE
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City | FOREST LAKE
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State | MN
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Zip | 55025-2022
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Country | US
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Telephone | 763-421-1042
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Fax | 952-241-9225
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Authorized Official
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Title or Position | PRESIDENT
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Name | REBECCA J HALABRIN
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Credential | PSYD, LP
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Telephone | 763-421-1042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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