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General NPI Number Information
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NPI Number | 1518846674
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Entity Type | Organization
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Legal Business Name | HEALING WITH HUMOR COUNSELING LLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 416 JOHNSON AVE
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City | OROFINO
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State | ID
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Zip | 83544-8501
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Country | US
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Telephone | 208-502-0894
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Fax |
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Provider Business Mailing Address
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Address Line | 13814 W 2ND AVE
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City | OROFINO
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State | ID
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Zip | 83544-9109
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Country | US
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Telephone | 509-780-1111
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | JACQUELINE GINGERICH
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Credential | LPC
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Telephone | 509-780-1111
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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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