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General NPI Number Information
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NPI Number | 1760290811
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Entity Type | Organization
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Legal Business Name | BALSAM COUNSELING AND CONSULTING PC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1001 SOUTH 24TH STREET WEST SUITE 103
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City | BILLINGS
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State | MT
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Zip | 59102
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Country | US
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Telephone | 406-860-0934
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Fax | 888-790-0708
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Provider Business Mailing Address
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Address Line | 1001 S 24TH ST W STE 103
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City | BILLINGS
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State | MT
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Zip | 59102-7419
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Country | US
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Telephone | 406-860-0934
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Fax | 888-790-0708
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Authorized Official
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Title or Position | OWNER, PRESIDENT/PROVIDER
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Name | ANDREW SCOTT BALSAM
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Credential | LCPC
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Telephone | 406-860-0934
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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 |
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License Number State |
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