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General NPI Number Information
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NPI Number | 1588016562
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Entity Type | Organization
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Legal Business Name | ABC COUNSELING SERVICES
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 07/01/2016
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Provider Practice Location Address
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Address Line | 2614 N 14TH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63106-3913
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Country | US
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Telephone | 314-570-5553
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Fax |
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Provider Business Mailing Address
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Address Line | 2614 N 14TH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63106-3913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | AKITA BOYCE-COLE
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Credential | LPC
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Telephone | 314-570-5553
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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 | 2008011056
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License Number State | MO
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