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General NPI Number Information
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NPI Number | 1437801982
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Entity Type | Organization
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Legal Business Name | GILL COUNSELING SERVICES
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 107 S 5TH ST
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City | LARAMIE
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State | WY
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Zip | 82070-3123
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Country | US
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Telephone | 307-399-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 649 HOWE RD
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City | LARAMIE
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State | WY
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Zip | 82070-6885
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Country | US
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Telephone | 130-739-9032
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENISE GILL
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Credential | LCSW
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Telephone | 307-399-0329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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