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General NPI Number Information
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NPI Number | 1417079013
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Entity Type | Organization
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Legal Business Name | A CENTER FOR COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 105 PINE ST SUITE #108
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City | SANDPOINT
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State | ID
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Zip | 83864-1369
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Country | US
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Telephone | 208-265-2271
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Fax | 208-255-2503
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Provider Business Mailing Address
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Address Line | 105 PINE ST SUITE #108
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City | SANDPOINT
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State | ID
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Zip | 83864-1369
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Country | US
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Telephone | 208-265-2271
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Fax | 208-255-2503
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARINA FERRIER
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Credential | PH.D., LMFT,LCPC
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Telephone | 208-265-2271
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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 | LCPC#2811,LMFT#2734
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License Number State | ID
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