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General NPI Number Information
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NPI Number | 1972323160
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Entity Type | Organization
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Legal Business Name | HOLDEN COUNSELING LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 421 32ND ST NW
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City | WATERTOWN
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State | SD
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Zip | 57201-5872
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Country | US
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Telephone | 605-880-9281
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Fax |
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Provider Business Mailing Address
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Address Line | 421 32ND ST NW
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City | WATERTOWN
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State | SD
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Zip | 57201-5872
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Country | US
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Telephone | 605-880-9281
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE EDITH HOLDEN
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Credential | LPC-MH SUPERVISEE
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Telephone | 605-880-9281
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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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