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NPI 1699884338

NPI 1699884338 : HELENE BELANGER M.COUN : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1699884338
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    Entity Type          |    Individual 
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    Provider Name        |    HELENE BELANGER M.COUN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2006
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    Last Update Date     |    02/22/2024
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Provider Practice Location Address
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    Address Line         |    1414 W FRANKLIN ST 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83702-5023
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    Country              |    US
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    Telephone            |    208-344-7964
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    Fax                  |    208-343-8475
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Provider Business Mailing Address
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    Address Line         |    720 W WASHINGTON ST 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83702-5535
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    Country              |    US
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    Telephone            |    208-344-7964
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    Fax                  |    208-343-8475
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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       |    LPC-3716
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    License Number State |    ID
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