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General NPI Number Information
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NPI Number | 1578891032
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Entity Type | Organization
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Legal Business Name | GAPP COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 1120 VALLEY VIEW DR
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City | VERMILLION
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State | SD
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Zip | 57069-3551
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Country | US
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Telephone | 605-677-9052
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 553
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City | VERMILLION
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State | SD
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Zip | 57069-0553
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Country | US
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Telephone | 605-677-9052
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. DEBRA GAPP
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Credential | MA, LPC, CCDC-III
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Telephone | 605-677-9052
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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 | CCDC-III 04011175
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC 1037
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License Number State | SD
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