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General NPI Number Information
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NPI Number | 1467039958
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Entity Type | Organization
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Legal Business Name | CARDINAL COUNSELING, LLC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 819 30TH AVE S STE 202
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City | MOORHEAD
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State | MN
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Zip | 56560-5054
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Country | US
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Telephone | 701-212-7662
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Fax |
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Provider Business Mailing Address
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Address Line | 819 30TH AVE S STE 202
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City | MOORHEAD
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State | MN
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Zip | 56560-5054
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Country | US
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Telephone | 701-212-7662
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | MS. NICOLE ANDREA BRENNY
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Credential | LPC
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Telephone | 701-212-7662
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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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