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NPI 1003757659

NPI 1003757659 : RENOVA COUNSELING : KIRKLAND, WA

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General NPI Number Information
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    NPI Number           |    1003757659
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENOVA COUNSELING 
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Dates
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    Enumeration Date     |    04/06/2026
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    Last Update Date     |    04/06/2026
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Provider Practice Location Address
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    Address Line         |    12220 113TH AVE NE # KIRKLAND 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98034-6915
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    Country              |    US
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    Telephone            |    425-502-5641
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1226 162ND LN NE 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98008-3528
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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    |    COUNSELOR
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    Name                 |     NARJAN  SALMAN 
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    Credential           |    
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    Telephone            |    425-260-9845
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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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