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General NPI Number Information
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NPI Number | 1659210300
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Entity Type | Organization
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Legal Business Name | NORTH STAR COUNSELING & RECOVERY PLLC
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 315 WEST JEFFERSON STREET PO BOX 978
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City | THREE FORKS
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State | MT
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Zip | 59752
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Country | US
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Telephone | 406-490-9068
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Fax |
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Provider Business Mailing Address
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Address Line | 315 WEST JEFFERSON STREET PO BOX 978
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City | THREE FORKS
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State | MT
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Zip | 59752
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Country | US
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Telephone | 406-490-9068
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | JAY JOHNSON
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Credential | LAC
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Telephone | 406-490-9068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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