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General NPI Number Information
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NPI Number | 1841714185
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Entity Type | Individual
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Provider Name | CHRISTINE JUNOD LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 30 1ST AVE NE # 1
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City | BUFFALO
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State | MN
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Zip | 55313-1515
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Country | US
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Telephone | 612-699-7990
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Fax |
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Provider Business Mailing Address
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Address Line | 19044 XAVIER ST NW
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City | ELK RIVER
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State | MN
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Zip | 55330-2871
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Country | US
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Telephone | 763-202-9271
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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 |
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License Number State |
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