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General NPI Number Information
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NPI Number | 1417633199
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Entity Type | Individual
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Provider Name | SARAH WILLIAMS LPC
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1620 NORTHWEST BLVD STE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2488
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Country | US
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Telephone | 208-512-5085
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Fax |
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Provider Business Mailing Address
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Address Line | 1461 ROAD 22
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City | ATHOL
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State | ID
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Zip | 83801-9617
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Country | US
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Telephone | 208-691-1098
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Fax | 866-485-9242
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-10028
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License Number State | ID
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