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NPI 1861121006

NPI 1861121006 : SESSIONS PSYCHOTHERAPY, PLLC : DULUTH, MN

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General NPI Number Information
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    NPI Number           |    1861121006
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    Entity Type          |    Organization 
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    Legal Business Name  |    SESSIONS PSYCHOTHERAPY, PLLC 
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Dates
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    Enumeration Date     |    06/05/2022
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    Last Update Date     |    06/05/2022
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Provider Practice Location Address
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    Address Line         |    521 S 59TH AVE W 
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    City                 |    DULUTH
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    State                |    MN
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    Zip                  |    55807-2168
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    Country              |    US
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    Telephone            |    218-382-3622
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    521 S 59TH AVE W 
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    City                 |    DULUTH
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    State                |    MN
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    Zip                  |    55807-2168
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    Country              |    US
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    Telephone            |    218-382-3622
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. SHERI  JOHNSON 
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    Credential           |    LICSW
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    Telephone            |    218-382-3622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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