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General NPI Number Information
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NPI Number | 1487290805
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Entity Type | Individual
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Provider Name | BREEZY ADAMS LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 725 6TH AVE E STE 16
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City | KALISPELL
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State | MT
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Zip | 59901-5005
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Country | US
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Telephone | 406-250-6146
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2885
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City | KALISPELL
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State | MT
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Zip | 59903-2885
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Country | US
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Telephone | 406-250-6146
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-39618
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License Number State | MT
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