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General NPI Number Information
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NPI Number | 1437972791
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Entity Type | Organization
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Legal Business Name | VAN KALSBEEK COUNSELING LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 225 N CLIFF AVE STE 4
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City | HARRISBURG
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State | SD
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Zip | 57032-2524
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Country | US
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Telephone | 605-610-9094
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Fax |
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Provider Business Mailing Address
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Address Line | 225 N CLIFF AVE STE 4
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City | HARRISBURG
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State | SD
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Zip | 57032-2524
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Country | US
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Telephone | 605-610-9094
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA VAN KALSBEEK
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Credential | MS, LPC-MH, NCC
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Telephone | 605-610-9094
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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 |
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License Number State |
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