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General NPI Number Information
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NPI Number | 1538933999
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Entity Type | Organization
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Legal Business Name | OLLENDICK COUNSELING LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 805 CENTURY DR STE 5
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City | DUBUQUE
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State | IA
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Zip | 52002-3771
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Country | US
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Telephone | 563-590-5998
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Fax | 563-726-7384
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Provider Business Mailing Address
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Address Line | 805 CENTURY DR STE 5
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City | DUBUQUE
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State | IA
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Zip | 52002-3771
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Country | US
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Telephone | 563-590-5998
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Fax | 563-726-7384
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | LORI L OLLENDICK
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Credential | LMHC
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Telephone | 563-590-5998
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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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