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General NPI Number Information
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NPI Number | 1427920271
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Entity Type | Organization
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Legal Business Name | AWARE FROM WITHIN THERAPY
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 944 GRAND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-3014
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Country | US
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Telephone | 612-806-9385
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Fax | 612-416-2081
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Provider Business Mailing Address
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Address Line | 944 GRAND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-3014
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Country | US
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Telephone | 612-806-9385
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Fax | 612-416-2081
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | ALMA LORENA VILLASENOR FIERROS
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Credential | MA, LPCC
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Telephone | 612-806-9385
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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 |
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License Number State |
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