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General NPI Number Information
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NPI Number | 1972236016
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Entity Type | Organization
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Legal Business Name | STEPPING STONES THERAPY LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 2484 N STOKESBERRY PL STE 150
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City | MERIDIAN
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State | ID
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Zip | 83646-6084
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Country | US
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Telephone | 720-663-0288
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Fax |
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Provider Business Mailing Address
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Address Line | 2484 N STOKESBERRY PL STE 150
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City | MERIDIAN
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State | ID
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Zip | 83646-6084
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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 | LICENSED CLINICAL PROFESSIONAL COUN
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Name | EVAN ENGLE-NEWMAN
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Credential | LCPC, LPC
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Telephone | 719-510-2448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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