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NPI 1649858697

NPI 1649858697 : DANIELLE REDMAN COUNSELING : GRAND ISLAND, NE

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General NPI Number Information
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    NPI Number           |    1649858697
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIELLE REDMAN COUNSELING 
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Dates
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    Enumeration Date     |    03/31/2021
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    Last Update Date     |    03/31/2021
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Provider Practice Location Address
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    Address Line         |    2605 BRAHMA ST 
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    City                 |    GRAND ISLAND
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    State                |    NE
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    Zip                  |    68801-7615
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    Country              |    US
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    Telephone            |    402-366-0138
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2605 BRAHMA ST 
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    City                 |    GRAND ISLAND
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    State                |    NE
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    Zip                  |    68801-7615
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    Country              |    US
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    Telephone            |    402-366-0138
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |     DANIELLE M REDMAN 
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    Credential           |    LMHP
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    Telephone            |    402-366-0138
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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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