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General NPI Number Information
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NPI Number | 1609739234
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Entity Type | Organization
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Legal Business Name | 222 ENTERPRISES
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 693 W CANFIELD AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83815-5239
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Country | US
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Telephone | 888-208-0559
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 E PENNSYLVANIA AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4343
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Country | US
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Telephone | 888-208-0559
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/COACH
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Name | KATHRYN MCMURRAY
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Credential | BCMHC/COUNSELOR
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Telephone | 888-208-0559
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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