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General NPI Number Information
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NPI Number | 1669247755
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Entity Type | Organization
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Legal Business Name | BRIANNA DAWKINS COUNSELING LLC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 500 W IDAHO ST STE 201
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City | BOISE
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State | ID
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Zip | 83702-5755
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Country | US
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Telephone | 208-994-4234
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 W TARGEE ST
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City | BOISE
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State | ID
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Zip | 83705-3348
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | BRIANNA DAWKINS
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Credential | LPC
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Telephone | 208-994-4234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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