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General NPI Number Information
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NPI Number | 1720653207
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Entity Type | Individual
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Provider Name | MISTI LEIGH HOFLAND MA, CRC, CH-C
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Gender | Female
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 1601 2ND AVE N STE 336
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City | GREAT FALLS
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State | MT
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Zip | 59401-3243
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Country | US
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Telephone | 406-750-8875
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Fax |
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Provider Business Mailing Address
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Address Line | 1337 AVENUE C NW
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City | GREAT FALLS
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State | MT
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Zip | 59404-1735
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Country | US
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Telephone | 406-750-8875
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62172
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License Number State | MT
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