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General NPI Number Information
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NPI Number | 1770898165
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Entity Type | Individual
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Provider Name | ERIN A GARRISON M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 2399 S ORCHARD ST SUITE 203
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City | BOISE
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State | ID
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Zip | 83705-3793
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Country | US
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Telephone | 208-342-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 7654 WILLOW CREEK DR
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City | MIDDLETON
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State | ID
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Zip | 83644-5306
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Country | US
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Telephone | 740-704-3270
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4579
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4579
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License Number State | ID
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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 | 4579
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License Number State | ID
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