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General NPI Number Information
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NPI Number | 1689854176
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Entity Type | Organization
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Legal Business Name | CHRISTIAN COUNSELING AND GUIDANCE, INC.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 600 N COTNER BLVD SUITE 302
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City | LINCOLN
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State | NE
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Zip | 68505-2343
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Country | US
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Telephone | 402-488-3740
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Fax | 402-488-3740
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Provider Business Mailing Address
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Address Line | 600 N COTNER BLVD SUITE 302
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City | LINCOLN
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State | NE
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Zip | 68505-2343
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Country | US
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Telephone | 402-488-3740
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Fax | 402-488-3740
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES A BROWN
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Credential | MA
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Telephone | 402-488-3740
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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 | 538
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License Number State | NE
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