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General NPI Number Information
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NPI Number | 1629984265
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Entity Type | Organization
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Legal Business Name | MINI CASSIA COUNSELING
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 2271 OVERLAND AVE STE 5A
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City | BURLEY
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State | ID
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Zip | 83318-2957
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Country | US
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Telephone | 208-260-1883
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Fax | 208-837-8322
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Provider Business Mailing Address
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Address Line | PO BOX 492
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City | PAUL
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State | ID
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Zip | 83347-0492
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Country | US
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Telephone | 208-260-1883
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Fax | 208-837-8322
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. ANGIE ZABALA
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Credential | LCSW
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Telephone | 208-260-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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