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General NPI Number Information
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NPI Number | 1699487991
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Entity Type | Organization
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Legal Business Name | RESILIENCY COUNSELING, LLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 1119 W KENT AVE
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City | MISSOULA
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State | MT
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Zip | 59801-6636
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Country | US
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Telephone | 406-356-6480
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 W KENT AVE
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City | MISSOULA
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State | MT
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Zip | 59801-5314
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Country | US
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Telephone | 818-458-0234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JORDAN ROBERT CLARFIELD
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Credential | PCLC/LCPC
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Telephone | 818-458-0234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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