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General NPI Number Information
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NPI Number | 1487142881
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Entity Type | Individual
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Provider Name | KARINA J GOLBERG MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 8700 W 36TH ST STE 109
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-3974
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Country | US
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Telephone | 651-425-1561
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 W 36TH ST STE 109
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-3974
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Country | US
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Telephone | 651-425-1561
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1798
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License Number State | MN
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