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General NPI Number Information
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NPI Number | 1730604554
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Entity Type | Organization
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Legal Business Name | ANDRESEN COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 3641 KIMBALL AVE STE 201
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City | WATERLOO
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State | IA
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Zip | 50702-5757
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Country | US
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Telephone | 319-240-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 3641 KIMBALL AVE STE 201
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City | WATERLOO
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State | IA
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Zip | 50702-5757
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Country | US
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Telephone | 319-240-2284
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEE MONSON
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Credential |
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Telephone | 319-269-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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