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General NPI Number Information
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NPI Number | 1093045676
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Entity Type | Organization
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Legal Business Name | CALM WATERS COUNSELING PLLC
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 10103 N DIVISION ST SUITE 100
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City | SPOKANE
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State | WA
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Zip | 99218-1380
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Country | US
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Telephone | 509-467-9111
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Fax | 509-468-1294
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Provider Business Mailing Address
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Address Line | 10103 N DIVISION ST SUITE 100
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City | SPOKANE
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State | WA
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Zip | 99218-1380
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Country | US
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Telephone | 509-467-9111
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Fax | 509-468-1294
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | LISA MARIE ESTELLE
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Credential | PSYD
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Telephone | 509-467-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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