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General NPI Number Information
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NPI Number | 1669134466
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Entity Type | Individual
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Provider Name | RACHEL SEALES MA LPCC LADC
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Gender | Female
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1246 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55104-4125
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Country | US
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Telephone | 651-204-7048
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Fax |
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Provider Business Mailing Address
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Address Line | 9731 MINNETONKA BLVD APT 313
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City | MINNETONKA
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State | MN
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Zip | 55305-4665
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Country | US
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Telephone | 608-449-8081
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Fax |
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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 |
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License Number State |
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