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General NPI Number Information
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NPI Number | 1770215873
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Entity Type | Organization
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Legal Business Name | ESSENTIAL FAMILY SOLUTIONS
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 104 11TH ST W STE 6
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City | BOTTINEAU
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State | ND
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Zip | 58318-2005
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Country | US
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Telephone | 701-720-7839
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Fax |
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Provider Business Mailing Address
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Address Line | 104 11TH ST W STE 6
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City | BOTTINEAU
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State | ND
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Zip | 58318-2005
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Country | US
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Telephone | 701-228-3326
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Fax | 701-228-3327
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | SHERICE SCHALESKY
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Credential | LCAC, LAMFT
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Telephone | 701-822-3326
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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