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General NPI Number Information
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NPI Number | 1871442566
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Entity Type | Organization
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Legal Business Name | TETON CREST COUNSELING LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 10 PIONEER LN STE 11
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City | JACKSON
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State | WY
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Zip | 83001-8175
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Country | US
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Telephone | 307-413-8393
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 MELODY CREEK LN
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City | JACKSON
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State | WY
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Zip | 83001-8982
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Country | US
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Telephone | 307-413-8393
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | PAIGE JOHNSTON
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Credential | LPC
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Telephone | 307-413-8393
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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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