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General NPI Number Information
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NPI Number | 1598008500
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Entity Type | Organization
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Legal Business Name | CLEAR REFLECTIONS COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 922 4TH ST STE R
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City | BROOKINGS
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State | SD
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Zip | 57006-2173
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Country | US
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Telephone | 605-690-4755
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Fax | 605-692-8997
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Provider Business Mailing Address
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Address Line | 922 4TH ST STE R
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City | BROOKINGS
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State | SD
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Zip | 57006-2173
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Country | US
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Telephone | 605-690-4755
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Fax | 605-692-8997
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | MRS. HEIDI ANN EVERS
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Credential | LPC-MH
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Telephone | 605-690-4755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-MH2055
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License Number State | SD
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