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General NPI Number Information
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NPI Number | 1043952351
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Entity Type | Organization
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Legal Business Name | GUIDING HOPE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 14409 NE 22ND AVE
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City | VANCOUVER
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State | WA
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Zip | 98686-2146
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Country | US
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Telephone | 360-207-4504
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Fax |
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Provider Business Mailing Address
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Address Line | 7202 NE HIGHWAY 99 STE 106
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City | VANCOUVER
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State | WA
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Zip | 98665-8932
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Country | US
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Telephone | 360-207-4504
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER J BARDOLE
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Credential | LICSW
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Telephone | 360-207-4504
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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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