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General NPI Number Information
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NPI Number | 1871225524
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Entity Type | Individual
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Provider Name | MIRI'IKAI WALTER LCPC, LAC, NPT-C,
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1011 UNITED STATES HIGHWAY 2 WEST STE 400 E
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-607-7003
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Fax | 406-551-1066
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Provider Business Mailing Address
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Address Line | 1011 UNITED STATES HIGHWAY 2 WEST STE 400 E
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-607-7003
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Fax | 406-551-1066
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 63798
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 70513
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License Number State | MT
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