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General NPI Number Information
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NPI Number | 1841031283
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Entity Type | Organization
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Legal Business Name | CATALYST COUNSELING & WELLNESS GROUP INC
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 1431 GILLAM WAY
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City | FAIRBANKS
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State | AK
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Zip | 99701-6043
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Country | US
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Telephone | 907-322-3033
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Fax | 907-202-9230
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Provider Business Mailing Address
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Address Line | PO BOX 61046
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City | FAIRBANKS
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State | AK
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Zip | 99706-1046
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Country | US
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Telephone | 907-322-3033
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Fax | 907-202-9230
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Authorized Official
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Title or Position | OWNER
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Name | CLAIRE GELVIN-SMITH
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Credential | LPCS
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Telephone | 907-322-2019
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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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