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General NPI Number Information
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NPI Number | 1679722813
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Entity Type | Individual
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Provider Name | DESTA HILGERS LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 1601 2ND AVE N STE 450
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City | GREAT FALLS
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State | MT
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Zip | 59401-3259
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Country | US
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Telephone | 406-453-5592
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Fax | 406-453-5594
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Provider Business Mailing Address
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Address Line | 1601 2ND AVE N STE 450
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City | GREAT FALLS
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State | MT
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Zip | 59401-3259
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Country | US
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Telephone | 406-453-5592
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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 | SWP-LCPC-LIC-1533
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License Number State | MT
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