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General NPI Number Information
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NPI Number | 1033081666
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Entity Type | Organization
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Legal Business Name | MOMENT OF PEACE THERAPY PLLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2743 DUWAMISH CIR APT 3
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City | BREMERTON
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State | WA
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Zip | 98312-6006
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Country | US
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Telephone | 360-389-2381
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Fax |
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Provider Business Mailing Address
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Address Line | 2743 DUWAMISH CIR APT 3 ATTN: MOPT
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City | BREMERTON
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State | WA
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Zip | 98312-6006
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Country | US
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Telephone | 360-389-2381
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE
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Name | CHRISTOPHER A SINCLAIR
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Credential |
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Telephone | 360-389-2381
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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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