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General NPI Number Information
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NPI Number | 1922409648
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Entity Type | Organization
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Legal Business Name | S.B. CONSULTING L.L.C.
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 14 7TH AVE N
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City | SAINT CLOUD
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State | MN
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Zip | 56303-4753
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Country | US
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Telephone | 320-309-0936
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Fax | 320-259-4048
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Provider Business Mailing Address
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Address Line | PO BOX 7665
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City | SAINT CLOUD
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State | MN
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Zip | 56302-7665
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Country | US
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Telephone | 320-309-0936
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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 | SARAH BENGTSON
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Credential | LMFT, LADC
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Telephone | 320-309-0936
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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 | 302150
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2478
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License Number State | MN
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