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General NPI Number Information
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NPI Number | 1629618566
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Entity Type | Organization
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Legal Business Name | BAER BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 629 WOODY ST
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City | MISSOULA
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State | MT
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Zip | 59802-4137
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Country | US
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Telephone | 496-252-2942
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Fax |
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Provider Business Mailing Address
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Address Line | 629 WOODY ST
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City | MISSOULA
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State | MT
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Zip | 59802-4137
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Country | US
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Telephone | 406-253-3942
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BROOKS BAER
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Credential | LCPC
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Telephone | 406-253-3942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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