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General NPI Number Information
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NPI Number | 1649694589
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Entity Type | Organization
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Legal Business Name | SUNSTONE COUNSELING CENTER
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 3209 W SMITH VALLEY RD SUITE 224
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City | GREENWOOD
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State | IN
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Zip | 46142-8495
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Country | US
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Telephone | 317-884-5010
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Fax | 317-884-5011
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Provider Business Mailing Address
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Address Line | 3209 W SMITH VALLEY RD SUITE 224
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City | GREENWOOD
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State | IN
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Zip | 46142-8495
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Country | US
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Telephone | 317-884-5010
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Fax | 317-884-5011
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MS. FELICIA C SNELL
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Credential | LMFTA
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Telephone | 317-884-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001362A
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License Number State | IN
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