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General NPI Number Information
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NPI Number | 1609776368
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Entity Type | Organization
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Legal Business Name | SPRINGWELL GROVE COUNSELING LLC
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 228 E STATE ST
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City | CENTERVILLE
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State | IA
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Zip | 52544-1814
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Country | US
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Telephone | 641-856-9133
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Fax | 641-450-1132
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Provider Business Mailing Address
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Address Line | PO BOX 1053
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City | CENTERVILLE
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State | IA
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Zip | 52544-8053
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Country | US
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Telephone | 641-856-9133
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Fax | 641-450-1132
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER DAAKE
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Credential | LMHC
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Telephone | 641-856-9133
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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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