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General NPI Number Information
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NPI Number | 1427323617
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Entity Type | Organization
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Legal Business Name | JENNY SHEFFIELD COUNSELING SERVICES,LLC
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 1042 W MILL AVE SUITE 205
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2489
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Country | US
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Telephone | 208-699-4989
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Fax | 208-292-4544
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Provider Business Mailing Address
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Address Line | 1042 W MILL AVE SUITE 205
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2489
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Country | US
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Telephone | 208-699-4989
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Fax | 208-292-4544
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. JENNY M. SHEFFIELD
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Credential | MSW, LCSW
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Telephone | 208-699-4989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LCSW-30691
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License Number State | ID
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