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General NPI Number Information
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NPI Number | 1427496009
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Entity Type | Organization
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Legal Business Name | COMPASS COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 120 S NATIONAL AVE SUITE 202
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City | FORT SCOTT
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State | KS
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Zip | 66701-1311
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Country | US
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Telephone | 620-224-4733
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 747
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City | FORT SCOTT
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State | KS
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Zip | 66701-0747
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | JESSICA A ALLISON
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Credential | LCPC
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Telephone | 620-224-4733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2300
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License Number State | KS
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