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General NPI Number Information
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NPI Number | 1881857803
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Entity Type | Individual
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Provider Name | JULIE M EHRHARDT LMHC, LMSW, CEAP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 1029 68TH ST
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City | WINDSOR HEIGHTS
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State | IA
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Zip | 50311-1501
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Country | US
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Telephone | 515-277-7848
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Fax | 515-270-6517
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Provider Business Mailing Address
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Address Line | 1029 68TH ST
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City | WINDSOR HEIGHTS
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State | IA
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Zip | 50311-1501
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Country | US
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Telephone | 515-277-7848
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Fax | 515-270-6517
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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 | 90058
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001041
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 01412
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License Number State | IA
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