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NPI 1982149902

NPI 1982149902 : SCOTT BROWNLEE LPCC, LADC : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1982149902
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT BROWNLEE LPCC, LADC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/29/2016
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    Last Update Date     |    01/06/2024
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Provider Practice Location Address
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    Address Line         |    333 GRAND AVE STE 203 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55102-2583
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    Country              |    US
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    Telephone            |    651-317-4550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1838 SARGENT AVE 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55105-1529
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    Country              |    US
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    Telephone            |    651-335-4861
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    Fax                  |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    2142
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    License Number State |    MN
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