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General NPI Number Information
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NPI Number | 1558413815
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Entity Type | Organization
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Legal Business Name | SIGNAL ZONE COUNSELING, PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 803 KEELER ST.
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City | BOONE
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State | IA
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Zip | 50036-0036
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Country | US
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Telephone | 515-230-4010
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | BOONE
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State | IA
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Zip | 50036-0036
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Country | US
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Telephone | 515-230-4010
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DEBRA A. KOERNER
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Credential | LMHC
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Telephone | 515-230-4010
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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 | 00417
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License Number State | IA
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