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General NPI Number Information
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NPI Number | 1386598498
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Entity Type | Organization
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Legal Business Name | BIRCH GROVE COUNSELING
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 1070 DEVERON DR
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-1022
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Country | US
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Telephone | 515-676-0745
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Fax | 712-458-4656
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Provider Business Mailing Address
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Address Line | 1070 DEVERON DR
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-1022
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Country | US
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Telephone | 515-676-0745
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Fax | 712-458-4656
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ALICIA BLAIR ROEDER
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Credential | LMHC, LIMHP, LPC
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Telephone | 515-676-0745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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