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General NPI Number Information
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NPI Number | 1841897659
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Entity Type | Organization
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Legal Business Name | COMMUNITY COUNSELING AND CORRECTIONAL SERVICES INC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 471 E MERCURY ST
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City | BUTTE
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State | MT
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Zip | 59701-1906
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Country | US
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Telephone | 406-782-0417
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Fax | 406-782-6964
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Provider Business Mailing Address
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Address Line | 471 E MERCURY ST
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City | BUTTE
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State | MT
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Zip | 59701-1906
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Country | US
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Telephone | 406-782-0417
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Fax | 406-782-6964
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Authorized Official
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Title or Position | CORPORATE ACCOUNTING TECHNICIAN
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Name | HEATHER MCLAUGHLIN
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Credential |
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Telephone | 406-496-1172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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