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General NPI Number Information
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NPI Number | 1790216992
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Entity Type | Individual
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Provider Name | BRIAN MORROW LPC
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 05/21/2019
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Provider Practice Location Address
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Address Line | 106 E 3RD ST STE 4B
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City | MOSCOW
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State | ID
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Zip | 83843-2970
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Country | US
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Telephone | 509-780-3038
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Fax | 208-693-1667
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Provider Business Mailing Address
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Address Line | 1233 SYCAMORE ST
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City | CLARKSTON
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State | WA
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Zip | 99403-2240
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Country | US
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Telephone | 509-780-3038
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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 | LPC-6362
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License Number State | ID
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