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General NPI Number Information
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NPI Number | 1588120802
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Entity Type | Organization
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Legal Business Name | SUNFLOWER YOUTH AND FAMILY COUNSELING, LLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 1909 CUBA AVE STE 5
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5646
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Country | US
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Telephone | 575-430-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 2ND AVE N STE 200D
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City | GREAT FALLS
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State | MT
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Zip | 59401-3243
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Country | US
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Telephone | 575-430-4919
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Fax | 855-679-5989
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | KATRINA ENGSTROM
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Credential | LCSW
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Telephone | 575-430-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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