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General NPI Number Information
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NPI Number | 1962756122
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Entity Type | Organization
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Legal Business Name | BARRETT COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 11/21/2012
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Provider Practice Location Address
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Address Line | 7200 FRANCE AVE S SUITE 223
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City | EDINA
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State | MN
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Zip | 55435-4300
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Country | US
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Telephone | 651-252-4011
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Fax | 952-405-8727
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Provider Business Mailing Address
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Address Line | 1631 HAGUE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55104-6236
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Country | US
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Telephone | 651-485-9394
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH BARRETT
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Credential | LICSW
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Telephone | 651-252-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 18413
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License Number State | MN
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