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General NPI Number Information
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NPI Number | 1659248193
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Entity Type | Organization
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Legal Business Name | CATALYST LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 150 W ROSEBERRY RD STE 1B-4
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City | DONNELLY
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State | ID
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Zip | 83615-7725
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Country | US
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Telephone | 208-634-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 227 RIO VISTA BLVD
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City | MCCALL
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State | ID
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Zip | 83638-4301
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Country | US
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Telephone | 208-634-5678
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN L STOLL
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Credential | LMFT
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Telephone | 208-634-5678
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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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