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General NPI Number Information
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NPI Number | 1528327970
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Entity Type | Organization
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Legal Business Name | KIND MIND COUNSELING CENTER
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2602 1ST AVE
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City | HIBBING
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State | MN
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Zip | 55746-2245
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Country | US
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Telephone | 218-203-5949
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Fax |
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Provider Business Mailing Address
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Address Line | 2602 1ST AVE
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City | HIBBING
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State | MN
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Zip | 55746-2245
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Country | US
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Telephone | 218-203-5949
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MARMIE PAULINE JOTTER
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Credential | LICSW
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Telephone | 218-929-0959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 18284
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License Number State | MN
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