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General NPI Number Information
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NPI Number | 1205544855
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Entity Type | Organization
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Legal Business Name | GUIDING STAR COUNSELING PLLC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 9407 NE VANCOUVER MALL DR STE 207
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City | VANCOUVER
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State | WA
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Zip | 98662-6191
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Country | US
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Telephone | 360-524-2268
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Fax | 360-583-3478
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Provider Business Mailing Address
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Address Line | 2210 W MAIN ST STE 107-410
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4236
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Country | US
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Telephone | 360-624-3829
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Fax | 360-583-3478
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MRS. BAMBI DIANE STRAUBE
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Credential | LMHC
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Telephone | 360-624-3829
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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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