{
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"OrgName": "A CENTER FOR COUNSELING SERVICES, INC.",
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"FirstLineMailingAddress": "105 PINE ST",
"SecondLineMailingAddress": "SUITE #108",
"MailingAddressCityName": "SANDPOINT",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83864-1369",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "208-265-2271",
"MailingAddressFaxNumber": "208-255-2503",
"FirstLinePracticeLocationAddress": "105 PINE ST",
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"PracticeLocationAddressCityName": "SANDPOINT",
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"PracticeLocationAddressFaxNumber": "208-255-2503",
"EnumerationDate": "04/04/2007",
"LastUpdateDate": "03/30/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FERRIER",
"AuthorizedOfficialFirstName": "MARINA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "PH.D., LMFT,LCPC",
"AuthorizedOfficialTelephoneNumber": "208-265-2271",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Counselor",
"LicenseNumber": "LCPC#2811,LMFT#2734",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}