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General NPI Number Information
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NPI Number | 1164387247
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Entity Type | Organization
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Legal Business Name | SEA SPARROW COUNSELING, LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1060 E END RD
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City | HOMER
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State | AK
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Zip | 99603-7205
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Country | US
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Telephone | 907-235-2102
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Fax | 907-759-7211
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Provider Business Mailing Address
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Address Line | 1060 E END RD
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City | HOMER
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State | AK
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Zip | 99603-7205
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Country | US
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Telephone | 907-235-2102
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Fax | 907-759-7211
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | IRENE S SAXTON
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Credential | LCSW
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Telephone | 971-678-1676
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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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