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General NPI Number Information
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NPI Number | 1023773918
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Entity Type | Organization
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Legal Business Name | HOPE CHRISTIAN THERAPY SERVICES
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 35317 S ROCK LAKE RD
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City | CHENEY
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State | WA
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Zip | 99004-5167
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Country | US
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Telephone | 818-521-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 11423 N EMERALD DR
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City | HAYDEN
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State | ID
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Zip | 83835-7322
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Country | US
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Telephone | 818-521-6477
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Fax |
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Authorized Official
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Title or Position | LICENSED MFT
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Name | DR. KEVIN BELSBY
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Credential | D.MIN.; TH.M.; M.DIV
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Telephone | 818-521-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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