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General NPI Number Information
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NPI Number | 1386568152
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Entity Type | Individual
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Provider Name | EDEN MALIAMAE MORIN M.ED.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1935 3RD AVE E
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City | KALISPELL
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State | MT
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Zip | 59901-5780
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Country | US
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Telephone | 406-607-4885
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Fax |
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Provider Business Mailing Address
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Address Line | 38000 S VALLEY CREEK RD
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City | ARLEE
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State | MT
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Zip | 59821-8200
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Country | US
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Telephone | 406-240-1892
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-PCLC-LIC-90279
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License Number State | MT
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