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General NPI Number Information
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NPI Number | 1427421957
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY BEHAVIORAL HEALTH & WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 8640 EAGLE CREEK CIR
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City | SAVAGE
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State | MN
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Zip | 55378-4400
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Country | US
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Telephone | 952-746-7664
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Fax | 952-224-4867
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Provider Business Mailing Address
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Address Line | 8640 EAGLE CREEK CIR
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City | SAVAGE
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State | MN
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Zip | 55378-4400
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Country | US
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Telephone | 952-746-7664
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Fax | 952-224-4867
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | SARA KUESTER
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Credential |
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Telephone | 952-746-7664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC1053
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License Number State | MN
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