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General NPI Number Information
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NPI Number | 1881568798
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Entity Type | Organization
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Legal Business Name | COUNSELING COLLECTIVE LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 5878 BLACKSHIRE PATH
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-1621
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Country | US
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Telephone | 612-352-8507
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Fax |
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Provider Business Mailing Address
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Address Line | 5878 BLACKSHIRE PATH
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-1621
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Country | US
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Telephone | 612-352-8507
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL CLINICAL COUNSELOR
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Name | KELSEY REHOME
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Credential | LPCC
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Telephone | 612-720-9746
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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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