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General NPI Number Information
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NPI Number | 1467080507
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Entity Type | Organization
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Legal Business Name | WHITE CANVAS COUNSELLING LLC
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 560 S STATE ST STE E1-C
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City | OREM
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State | UT
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Zip | 84058-6354
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Country | US
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Telephone | 435-820-0135
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Fax |
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Provider Business Mailing Address
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Address Line | 212 E CROSSROADS BLVD # 107
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-2966
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Country | US
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Telephone | 435-820-0135
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER J. SCOTT
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Credential | CMHC
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Telephone | 435-820-0135
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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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