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General NPI Number Information
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NPI Number | 1790046415
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Entity Type | Organization
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Legal Business Name | FIRST STEP COUNSELING
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 718 BIG HORN AVE SUITE D
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City | WORLAND
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State | WY
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Zip | 82401
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Country | US
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Telephone | 307-431-2712
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Fax | 307-347-4340
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Provider Business Mailing Address
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Address Line | 601 GRACE AVE.
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City | WORLAND
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State | WY
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Zip | 82401
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Country | US
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Telephone | 307-431-2712
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Fax | 307-347-4340
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BROCK RICHARD GREEK
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Credential | MSW, LCSW
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Telephone | 307-432-2712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LCSW-592
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License Number State | WY
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