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General NPI Number Information
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NPI Number | 1962367128
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Entity Type | Organization
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Legal Business Name | LARCH COUNSELING
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 126 380TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-8220
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Country | US
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Telephone | 309-361-5088
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Fax |
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Provider Business Mailing Address
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Address Line | 126 380TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-8220
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Country | US
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Telephone | 309-361-5088
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | JENNIFER ANN COLLINS
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Credential | LMHC
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Telephone | 309-361-5088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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