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General NPI Number Information
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NPI Number | 1891313599
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Entity Type | Organization
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Legal Business Name | BALANCED CNS COUNSELING LLC
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 189 S STATE ST STE 230
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City | CLEARFIELD
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State | UT
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Zip | 84015-1001
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Country | US
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Telephone | 801-923-8667
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Fax | 801-978-3272
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Provider Business Mailing Address
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Address Line | PO BOX 2382
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City | LAYTON
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State | UT
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Zip | 84041-9306
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Country | US
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Telephone | 801-499-1178
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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 | KATHERINE DEAN TUREK
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Credential | LCSW
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Telephone | 801-499-1178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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