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General NPI Number Information
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NPI Number | 1447997341
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Entity Type | Organization
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Legal Business Name | FAITHFUL COUNSELING AND THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 57 MICHIGAN AVE STE 100
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 312-406-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 4TH AVE
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City | VALPARAISO
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State | IN
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Zip | 46383-1170
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Country | US
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Telephone | 312-406-3776
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBBIE D. SARDINA
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Credential | MA LCPC LMHC
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Telephone | 312-406-3776
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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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