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General NPI Number Information
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NPI Number | 1427597178
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Entity Type | Organization
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Legal Business Name | FIRM FOUNDATIONS COUNSELING INC.
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 1601 SW 37TH ST
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City | TOPEKA
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State | KS
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Zip | 66611-2646
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Country | US
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Telephone | 785-228-5691
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 SW 37TH ST
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City | TOPEKA
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State | KS
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Zip | 66611-2646
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Country | US
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Telephone | 785-228-5691
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. ANGELA D MCCLAIN
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Credential | LCPC, LCAC
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Telephone | 785-228-5691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 536
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2329
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License Number State | KS
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