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General NPI Number Information
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NPI Number | 1700305992
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Entity Type | Organization
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Legal Business Name | INNERSTRENGTH THERAPY SERVICES
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 4900 HIGHWAY 169 N STE 315
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City | NEW HOPE
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State | MN
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Zip | 55428-4049
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Country | US
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Telephone | 612-229-9790
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Fax | 651-925-0566
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Provider Business Mailing Address
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Address Line | 10110 31ST AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55441-3170
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Country | US
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Telephone | 612-703-5401
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Fax | 888-965-7702
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JESSICA LYNETTE VERBOUT
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Credential | M.A., LMFT, CST
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Telephone | 612-552-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2043
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License Number State | MN
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