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General NPI Number Information
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NPI Number | 1053075986
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Entity Type | Organization
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Legal Business Name | SOSA COUNSELING, LLC
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 25029 144TH PL SE
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City | KENT
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State | WA
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Zip | 98042-3425
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Country | US
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Telephone | 650-922-3049
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Fax |
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Provider Business Mailing Address
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Address Line | 25029 144TH PL SE
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City | KENT
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State | WA
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Zip | 98042-3425
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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 | OWNER
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Name | KEVIN SOSA
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Credential | LMHCA
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Telephone | 253-642-6127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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