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General NPI Number Information
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NPI Number | 1487289252
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Entity Type | Organization
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Legal Business Name | COMPASS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 305 TARA WAY
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City | LAWTON
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State | IA
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Zip | 51030-1026
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Country | US
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Telephone | 712-490-6464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | JEFFERSON
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State | SD
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Zip | 57038-0007
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Country | US
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Telephone | 712-490-6464
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JESSIE CHRISTOPHERSON
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Credential | LMHC
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Telephone | 712-490-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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