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General NPI Number Information
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NPI Number | 1164389284
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Entity Type | Organization
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Legal Business Name | BLACK MEN & WOMEN IN TRAINING LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 7531 NE 18TH ST APT 107
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City | VANCOUVER
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State | WA
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Zip | 98661-7377
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Country | US
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Telephone | 503-724-3725
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Fax | 503-296-2937
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Provider Business Mailing Address
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Address Line | 8401 NE HALSEY ST STE 206
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City | PORTLAND
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State | OR
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Zip | 97220-5670
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Country | US
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Telephone |
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Fax | 503-296-2937
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Authorized Official
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Title or Position | CEO
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Name | MS. STEPHANIE L WHITE
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Credential |
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Telephone | 503-724-3725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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