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General NPI Number Information
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NPI Number | 1770237331
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Entity Type | Organization
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Legal Business Name | CHOICE POINT COUNSELING
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 750 W USTICK RD STE 120
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City | MERIDIAN
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State | ID
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Zip | 83646-6133
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Country | US
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Telephone | 208-366-1606
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 S TEN MILE RD
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City | KUNA
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State | ID
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Zip | 83634-1725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA DALLOLIO
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Credential | LCSW
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Telephone | 208-366-1606
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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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