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NPI 1619672607

NPI 1619672607 : NORTHWIND COUNSELING : DULUTH, MN

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General NPI Number Information
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    NPI Number           |    1619672607
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTHWIND COUNSELING 
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Dates
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    Enumeration Date     |    03/31/2023
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    Last Update Date     |    03/31/2023
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Provider Practice Location Address
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    Address Line         |    730 MEDICAL ARTS BUILDING 324 W SUPERIOR ST
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    City                 |    DULUTH
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    State                |    MN
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    Zip                  |    55802
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    Country              |    US
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    Telephone            |    218-461-0899
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    Fax                  |    218-520-3052
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Provider Business Mailing Address
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    Address Line         |    730 MEDICAL ARTS BUILDING 324 W SUPERIOR ST
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    City                 |    DULUTH
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    State                |    MN
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    Zip                  |    55802
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    Country              |    US
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    Telephone            |    218-461-0899
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    Fax                  |    218-520-3052
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Authorized Official
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    Title or Position    |    OWNER/MENTAL HEALTH THERAPIST
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    Name                 |     CLAIRE E MONTGOMERY 
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    Credential           |    MS, LPCC
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    Telephone            |    218-409-6272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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