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General NPI Number Information
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NPI Number | 1881408573
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Entity Type | Organization
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Legal Business Name | LINDA YEAROUS PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 101 E BROADWAY ST STE 312
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City | MISSOULA
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State | MT
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Zip | 59802-4589
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Country | US
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Telephone | 406-471-0282
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7236
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City | MISSOULA
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State | MT
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Zip | 59807-7236
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Country | US
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Telephone | 406-471-0282
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICIAN
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Name | LINDA AJ SLITER YEAROUS
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Credential | LCSW
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Telephone | 701-203-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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