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General NPI Number Information
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NPI Number | 1831051218
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS THERAPY
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3338 19TH ST NW STE 101
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City | ROCHESTER
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State | MN
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Zip | 55901-6781
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Country | US
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Telephone | 507-271-9517
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 19 1/2 LN NW
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City | ROCHESTER
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State | MN
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Zip | 55901-0462
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Country | US
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Telephone | 507-271-9524
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOAN-MARIE KIEFER
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Credential | LPCC
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Telephone | 507-271-9524
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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 |
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License Number State |
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