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General NPI Number Information
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NPI Number | 1942862149
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Entity Type | Individual
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Provider Name | JAIME NICOLE RINGSTAD ED.D., LPC, MAC
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Gender | Female
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 2111 COWLES ST
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City | FAIRBANKS
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State | AK
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Zip | 99701-5918
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Country | US
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Telephone | 907-458-2644
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 COWLES ST
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City | FAIRBANKS
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State | AK
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Zip | 99701-5918
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Country | US
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Telephone | 907-458-2634
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Fax | 907-459-3527
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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Taxonomy #3
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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