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General NPI Number Information
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NPI Number | 1619225448
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Entity Type | Organization
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Legal Business Name | PERSONAL COUNSELING LLC
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 202 CHERRY ST
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City | PAOLI
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State | IN
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Zip | 47454-1108
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Country | US
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Telephone | 812-723-0295
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Fax | 812-723-0110
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Provider Business Mailing Address
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Address Line | 3487 S POSSUM HOLLOW RD
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City | CAMPBELLSBURG
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State | IN
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Zip | 47108-8613
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Country | US
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Telephone | 812-755-4759
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Fax | 812-723-0110
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KAREN S. WEESNER
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Credential | LCSW
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Telephone | 812-755-4759
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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 | 34002457A
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License Number State | IN
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