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General NPI Number Information
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NPI Number | 1396512828
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Entity Type | Organization
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Legal Business Name | GROWING PERSPECTIVES COUNSELING, LLC
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 120 S NATIONAL AVE
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City | FORT SCOTT
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State | KS
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Zip | 66701-1311
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Country | US
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Telephone | 620-202-2613
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 S NATIONAL AVE
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City | FORT SCOTT
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State | KS
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Zip | 66701-2637
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Country | US
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Telephone | 620-202-2613
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | KERRY POMMIER
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Credential | LPC
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Telephone | 620-202-2613
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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 |
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License Number State |
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