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General NPI Number Information
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NPI Number | 1154608073
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Entity Type | Organization
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Legal Business Name | HOPE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/06/2011
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 10324 CANYON RD E SUITE 208
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City | PUYALLUP
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State | WA
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Zip | 98373-1013
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Country | US
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Telephone | 253-267-1760
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Fax | 253-503-1628
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Provider Business Mailing Address
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Address Line | 10324 CANYON RD E SUITE 208
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City | PUYALLUP
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State | WA
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Zip | 98373-1013
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Country | US
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Telephone | 253-267-1760
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Fax | 253-503-1628
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER
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Name | MARY J PHILLIPS GREEN
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Credential | PHD, LMHC, LMFT,LCPC
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Telephone | 253-267-1760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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