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General NPI Number Information
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NPI Number | 1457288557
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Entity Type | Organization
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Legal Business Name | CC COUNSELING LTD
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 7300 147TH ST W STE 103
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City | APPLE VALLEY
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State | MN
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Zip | 55124-7580
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Country | US
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Telephone | 651-372-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 19260 EVERFIELD AVE
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City | FARMINGTON
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State | MN
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Zip | 55024-6018
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Country | US
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Telephone | 651-249-6579
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | HALAINA CHRISTENSEN
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Credential | LICSW
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Telephone | 651-249-6579
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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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