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General NPI Number Information
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NPI Number | 1518439850
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Entity Type | Organization
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Legal Business Name | CEDAR CREEK COUNSELING
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 11 W MAIN ST STE 211
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City | BELGRADE
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State | MT
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Zip | 59714-3738
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Country | US
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Telephone | 406-595-6478
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Fax |
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Provider Business Mailing Address
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Address Line | 11 W MAIN ST STE 211
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City | BELGRADE
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State | MT
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Zip | 59714-3738
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Country | US
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Telephone | 406-595-6478
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Fax |
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Authorized Official
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Title or Position | CLINICIAN/OWNER
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Name | NICOLAIS CUYLE
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Credential | LCPC
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Telephone | 406-595-6478
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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 |
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License Number State |
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