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General NPI Number Information
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NPI Number | 1679986210
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Entity Type | Organization
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Legal Business Name | TRUE WELLNESS COUNSELING P.L.C.
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 207 W 4TH ST
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City | CARROLL
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State | IA
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Zip | 51401-2761
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Country | US
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Telephone | 712-792-4207
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Fax | 712-792-4207
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Provider Business Mailing Address
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Address Line | PO BOX 1104
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City | CARROLL
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State | IA
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Zip | 51401-1104
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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 | OWNER/MENTAL HEALTH THERAPIST
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Name | KAY LYNN HAUBRICH
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Credential | L.I.S.W.
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Telephone | 712-830-9238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 06730
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License Number State | IA
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