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General NPI Number Information
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NPI Number | 1629564141
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Entity Type | Organization
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Legal Business Name | STEPPING STONES COUNSELING
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 5414 BANNON CROSSING DR
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City | LOUISVILLE
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State | KY
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Zip | 40218
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Country | US
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Telephone | 502-210-7990
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Fax |
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Provider Business Mailing Address
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Address Line | 5414 BANNON CROSSING DR
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City | LOUISVILLE
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State | KY
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Zip | 40218
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Country | US
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Telephone | 502-210-7990
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | MRS. RAYNA L NELSON
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Credential |
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Telephone | 502-210-7990
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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 | 3771
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License Number State | KY
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