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General NPI Number Information
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NPI Number | 1861378341
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Entity Type | Organization
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Legal Business Name | STILL WATERS CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 205 E 7TH ST STE 154
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City | HAYS
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State | KS
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Zip | 67601-4907
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Country | US
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Telephone | 785-734-0447
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Fax | 620-805-6933
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Provider Business Mailing Address
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Address Line | 3206 WILLOW ST
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City | HAYS
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State | KS
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Zip | 67601-1727
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Country | US
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Telephone | 719-289-8743
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Fax | 785-734-0447
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | REBECCA S CLARK
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Credential | LSCSW
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Telephone | 719-289-8743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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