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General NPI Number Information
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NPI Number | 1104771252
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Entity Type | Organization
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Legal Business Name | CAMBIUM PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 3723 BEAVER VALLEY RD
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City | PORT LUDLOW
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State | WA
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Zip | 98365-9244
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Country | US
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Telephone | 760-230-3297
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Fax |
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Provider Business Mailing Address
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Address Line | 3723 BEAVER VALLEY RD
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City | PORT LUDLOW
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State | WA
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Zip | 98365-9244
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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 | MENTAL HEALTH COUNSELOR
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Name | MS. JULIA-ELLEN SPRUILL-SMITH
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Credential | LMHCA, MA, MED
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Telephone | 760-230-3297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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