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NPI 1578274635

NPI 1578274635 : NEW DIMENSIONS COUNSELING, LLC : KALISPELL, MT

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General NPI Number Information
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    NPI Number           |    1578274635
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW DIMENSIONS COUNSELING, LLC 
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Dates
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    Enumeration Date     |    12/09/2022
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    Last Update Date     |    12/09/2022
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Provider Practice Location Address
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    Address Line         |    125 HOMESTEAD RD 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-7735
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    Country              |    US
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    Telephone            |    406-270-9286
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    Fax                  |    468-902-5020
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Provider Business Mailing Address
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    Address Line         |    PO BOX 72 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59903-0072
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    Country              |    US
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    Telephone            |    406-270-9286
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    Fax                  |    406-890-2502
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Authorized Official
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    Title or Position    |    PSYCHOTHERAPIST
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    Name                 |     DEBORAH ANN BRESSLE 
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    Credential           |    MA, LCPC, LAC, LMFT
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    Telephone            |    406-270-9286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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