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General NPI Number Information
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NPI Number | 1558536391
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Entity Type | Organization
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Legal Business Name | ASSESSMENT & COUNSELING SOLUTIONS
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 11648 GRAVOIS SUITE 245
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City | SAINT LOUIS
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State | MO
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Zip | 63126-3034
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Country | US
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Telephone | 314-849-2800
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Fax | 314-849-2852
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Provider Business Mailing Address
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Address Line | 11648 GRAVOIS RD SUITE 245
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City | SAINT LOUIS
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State | MO
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Zip | 63126-3034
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Country | US
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Telephone | 314-849-2800
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Fax | 314-849-2852
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANE ELLEN WEST
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Credential | L.C.S.W
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Telephone | 314-849-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5880-10064
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License Number State | MO
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