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General NPI Number Information
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NPI Number | 1477940666
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Entity Type | Organization
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Legal Business Name | CONNECTIONS COUNSELING SERVICES, LLC.
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Dates
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Enumeration Date | 04/25/2015
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Last Update Date | 04/25/2015
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Provider Practice Location Address
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Address Line | 2215 2ND ST SW STE 200
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City | ROCHESTER
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State | MN
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Zip | 55902-4161
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Country | US
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Telephone | 507-421-9676
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Fax | 507-218-2487
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Provider Business Mailing Address
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Address Line | 2215 2ND ST SW STE 200
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City | ROCHESTER
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State | MN
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Zip | 55902-4161
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Country | US
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Telephone | 507-421-9676
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Fax | 507-218-2487
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | CYNTHIA J TRI
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Credential | MSW, LICSW, LSSW
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Telephone | 507-421-9676
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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 | 19398
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19398
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19398
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License Number State | MN
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