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General NPI Number Information
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NPI Number | 1407192529
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Entity Type | Organization
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Legal Business Name | BILLINGS COUNSELING LLC
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 1220 AVENUE C SUITE F
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City | BILLINGS
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State | MT
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Zip | 59102-3200
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Country | US
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Telephone | 406-839-0822
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 AVENUE C SUITE F
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City | BILLINGS
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State | MT
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Zip | 59102-3200
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORY HEGGEM
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Credential | LCSW
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Telephone | 406-839-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 795
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License Number State | MT
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