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General NPI Number Information
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NPI Number | 1477253318
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Entity Type | Organization
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Legal Business Name | REDEEMING STEPS
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 08/17/2024
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Provider Practice Location Address
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Address Line | 355 W PACIFIC ST
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City | BLACKFOOT
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State | ID
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Zip | 83221-1725
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Country | US
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Telephone | 208-557-1450
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Fax | 888-593-9842
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Provider Business Mailing Address
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Address Line | 734 N HIGHWAY 91
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City | FIRTH
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State | ID
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Zip | 83236-1156
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Country | US
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Telephone | 208-757-2932
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KLARICE JOHNSON
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Credential | LCSW
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Telephone | 208-757-2932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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