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General NPI Number Information
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NPI Number | 1073639753
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Entity Type | Organization
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Legal Business Name | CASTEELE, WILLIAMS & ASSOCIATES COUNSELING AGENCY INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 8833 PACIFIC AVE STE D
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City | TACOMA
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State | WA
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Zip | 98444-6490
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Country | US
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Telephone | 253-536-2881
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Fax | 253-536-2956
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Provider Business Mailing Address
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Address Line | 8833 PACIFIC AVE STE D
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City | TACOMA
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State | WA
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Zip | 98444-6490
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Country | US
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Telephone | 253-536-2881
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Fax | 253-536-2956
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JOHN L CASTEELE JR.
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Credential | PH.D.
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Telephone | 253-536-2881
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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 | LF00001490
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | CP00002471
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | CP00002471
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LF00001490
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License Number State | WA
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