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General NPI Number Information
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NPI Number | 1497477277
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Entity Type | Organization
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Legal Business Name | CORE INSIGHTS COUNSELING LLC
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 10/15/2022
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Provider Practice Location Address
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Address Line | 1949 SUGARLAND DR STE 211
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City | SHERIDAN
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State | WY
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Zip | 82801-5765
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Country | US
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Telephone | 307-429-2356
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Fax | 307-675-1276
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Provider Business Mailing Address
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Address Line | 1910 STADIUM DR
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City | SHERIDAN
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State | WY
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Zip | 82801-6727
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Country | US
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Telephone | 307-751-1816
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JENNIFER WHITE
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Credential | MS, LPC
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Telephone | 307-751-1816
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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 |
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License Number State |
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