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General NPI Number Information
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NPI Number | 1659420461
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Entity Type | Individual
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Provider Name | VICKI ANN MCLAUGHLIN LCPC, NCC, CRC, DCC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1620 NORTHWEST BLVD C-201
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2488
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Country | US
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Telephone | 208-704-4097
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Fax | 208-765-2558
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Provider Business Mailing Address
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Address Line | 501 S OSPREY DR
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City | POST FALLS
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State | ID
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Zip | 83854-9795
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Country | US
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Telephone | 208-704-4097
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Fax | 208-765-2558
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LCPC-2989
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License Number State | ID
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