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General NPI Number Information
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NPI Number | 1437588480
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Entity Type | Individual
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Provider Name | TINA VAN METER LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/09/2013
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 222 W 6TH ST
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City | JUNCTION CITY
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State | KS
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Zip | 66441-5500
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Country | US
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Telephone | 913-353-6067
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Fax | 785-504-9344
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | HERINGTON
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State | KS
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Zip | 67449-0101
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Country | US
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Telephone | 785-268-2038
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Fax | 620-487-2284
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LH61299929
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2023017555
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 03205
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License Number State | KS
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