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General NPI Number Information
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NPI Number | 1639560592
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Entity Type | Organization
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Legal Business Name | FAMILY MATTERS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 410 E B ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4049
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Country | US
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Telephone | 308-534-3351
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Fax | 308-696-2200
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Provider Business Mailing Address
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Address Line | 410 E B ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4049
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Country | US
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Telephone | 308-534-3351
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Fax | 308-696-2200
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KRISTINE WRIGHT
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Credential |
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Telephone | 308-534-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 552
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License Number State | NE
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