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General NPI Number Information
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NPI Number | 1114513389
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Entity Type | Organization
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Legal Business Name | INNER HEALING COUNSELING LLC
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 600 N 36TH ST STE 321
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City | SEATTLE
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State | WA
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Zip | 98103-8698
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Country | US
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Telephone | 206-708-2695
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Fax | 833-370-0319
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Provider Business Mailing Address
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Address Line | 600 N 36TH ST STE 321
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City | SEATTLE
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State | WA
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Zip | 98103-8698
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Country | US
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Telephone | 206-708-2695
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Fax | 833-370-0319
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. TRACY JORDAN ADAMS
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Credential | LMHC
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Telephone | 206-708-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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