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General NPI Number Information
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NPI Number | 1891597001
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Entity Type | Organization
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Legal Business Name | KERENGENDE FOUNDATION NFP
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1 S CHURCH ST STE 400
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City | BELLEVILLE
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State | IL
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Zip | 62220-2290
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Country | US
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Telephone | 618-767-4526
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Fax |
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Provider Business Mailing Address
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Address Line | 1 S CHURCH ST STE 400
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City | BELLEVILLE
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State | IL
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Zip | 62220-2290
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | YOUTH & FAMILY CLINICAL COORDINATOR
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Name | HANNAH ROSENTHAL
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Credential | MSW, LCSW
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Telephone | 314-325-4270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #4
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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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