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General NPI Number Information
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NPI Number | 1225437726
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Entity Type | Organization
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Legal Business Name | HOUSTON COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 33440 1ST WAY S SUITE 202
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6222
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Country | US
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Telephone | 253-709-9131
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Fax |
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Provider Business Mailing Address
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Address Line | 33440 1ST WAY S SUITE 202
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6222
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Country | US
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Telephone | 253-709-9131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY HOUSTON
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Credential | LICSW LMHC CDP MAC
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Telephone | 206-499-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00003698
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00010663
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00009326
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License Number State | WA
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