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General NPI Number Information
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NPI Number | 1659234664
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Entity Type | Organization
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Legal Business Name | COUNSELING COLLECTIVE, LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1700 E IRON AVE
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City | SALINA
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State | KS
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Zip | 67401-3401
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Country | US
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Telephone | 785-825-3029
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Fax |
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Provider Business Mailing Address
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Address Line | 3545 S HOLMES RD
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City | SALINA
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State | KS
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Zip | 67401-9087
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Country | US
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Telephone | 785-577-8602
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. CAROL MODDELMOG
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Credential | LCMFT
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Telephone | 785-577-8602
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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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