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General NPI Number Information
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NPI Number | 1821742800
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Entity Type | Organization
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Legal Business Name | ERIN HAUSKNECHT, LCSW
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 7168 EXPRESSWAY
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City | MISSOULA
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State | MT
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Zip | 59808-8587
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Country | US
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Telephone | 406-532-1178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1082
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City | FRENCHTOWN
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State | MT
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Zip | 59834-1082
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Country | US
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Telephone | 406-239-3290
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. ERIN CHRISTINE HAUSKNECHT
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Credential | LCSW
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Telephone | 406-239-3290
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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 |
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License Number State |
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