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General NPI Number Information
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NPI Number | 1730815929
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Entity Type | Organization
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Legal Business Name | COMPASS TO THE CREST
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 7776 S POINTE PKWY W STE 138
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City | PHOENIX
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State | AZ
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Zip | 85044-5402
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Country | US
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Telephone | 317-210-4279
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Fax |
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Provider Business Mailing Address
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Address Line | 529 TANNINGER DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-9457
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Country | US
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Telephone | 317-869-5008
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER MERIEL MCCHRISTIAN
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Credential | LCSW
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Telephone | 317-869-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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