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General NPI Number Information
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NPI Number | 1174221758
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Entity Type | Organization
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Legal Business Name | FORAGER COUNSELING, INC.
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 449 5TH ST
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City | INDEX
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State | WA
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Zip | 98256-5500
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Country | US
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Telephone | 360-362-0044
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 387
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City | INDEX
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State | WA
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Zip | 98256-0387
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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 | CCO
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Name | ASHLEY FLOYD
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Credential | LMHC, SUDP
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Telephone | 509-844-3190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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