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General NPI Number Information
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NPI Number | 1609971308
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Entity Type | Organization
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Legal Business Name | INSIGHT COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 445 E. 1ST STREET, SUITE 1
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City | FREMONT
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State | NE
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Zip | 68025-5617
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Country | US
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Telephone | 402-721-7169
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Fax | 402-721-7169
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Provider Business Mailing Address
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Address Line | 445 E. 1ST STREET, SUITE 1
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City | FREMONT
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State | NE
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Zip | 68025-5617
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Country | US
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Telephone | 402-721-7169
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Fax | 402-721-7169
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAIL PLASEK
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Credential |
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Telephone | 402-721-7169
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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 | 2236
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License Number State | NE
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