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General NPI Number Information
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NPI Number | 1689399073
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Entity Type | Organization
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Legal Business Name | SERENEDREAMS COUNSELING AND HYPNOSIS
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 33845 100TH AVE
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City | ONAMIA
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State | MN
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Zip | 56359-2186
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Country | US
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Telephone | 320-237-5446
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Fax |
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Provider Business Mailing Address
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Address Line | 33845 100TH AVE
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City | ONAMIA
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State | MN
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Zip | 56359-2186
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Country | US
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Telephone | 320-237-5446
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | REBECCA A JOHNSON
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Credential | MS, LPCC, CHP
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Telephone | 320-237-5446
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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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