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General NPI Number Information
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NPI Number | 1659596492
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Entity Type | Organization
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Legal Business Name | COUNSELING RESOURCES, INC.
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 511 SW JACKSON ST
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City | TOPEKA
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State | KS
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Zip | 66603-3333
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Country | US
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Telephone | 785-232-1349
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Fax |
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Provider Business Mailing Address
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Address Line | 6840 SILVERHEEL ST
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City | SHAWNEE
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State | KS
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Zip | 66226-5300
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Country | US
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Telephone | 913-647-7726
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Fax | 913-647-7710
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Authorized Official
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Title or Position | EXEC ASSISTANT
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Name | KERRI CLOCK
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Credential |
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Telephone | 913-647-7726
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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 | KS
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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