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General NPI Number Information
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NPI Number | 1548337868
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Entity Type | Organization
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Legal Business Name | RAINBOW COUNSELING SERV
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 324 WILLIAM 1F
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City | CAPE GIRANDEAU
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State | MO
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Zip | 63701
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Country | US
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Telephone | 573-339-1450
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Fax | 573-334-4904
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Provider Business Mailing Address
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Address Line | 3060 KAGE RD
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City | CAPE GIRANDEAU
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State | MO
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Zip | 63701
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Country | US
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Telephone | 573-339-1450
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Fax | 573-334-4904
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR COUNSELOR
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Name | BETTY JEAN PRIGGE
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Credential |
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Telephone | 573-339-1450
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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 | 000366
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License Number State | MO
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