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General NPI Number Information
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NPI Number | 1760940027
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Entity Type | Individual
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Provider Name | SARAH ANN PERRAULT LCPC, LAC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1405 4TH ST SW SUITE 2
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City | SIDNEY
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State | MT
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Zip | 59270
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Country | US
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Telephone | 406-643-4095
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Fax | 406-433-3586
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Provider Business Mailing Address
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Address Line | PO BOX 362
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City | SIDNEY
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State | MT
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Zip | 59270-0362
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Country | US
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Telephone | 406-230-1397
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Fax | 406-433-3586
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BBH-LAC-LIC-38100
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-PCLC-LIC-31487
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BBH-ACLC-LIC-30295
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-LCPC-LIC-44272
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License Number State | MT
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