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General NPI Number Information
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NPI Number | 1194607986
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Entity Type | Organization
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Legal Business Name | INDIGENOUS COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 720 SENECA ST STE 107
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City | SEATTLE
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State | WA
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Zip | 98101-3265
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Country | US
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Telephone | 203-214-8194
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Fax | 833-448-2067
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Provider Business Mailing Address
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Address Line | 720 SENECA ST STE 107
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City | SEATTLE
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State | WA
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Zip | 98101-3265
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Country | US
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Telephone | 203-214-8194
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Fax | 833-448-2067
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | QUANAH YELLOW CLOUD
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Credential | LSWAIC
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Telephone | 203-214-8194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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