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General NPI Number Information
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NPI Number | 1225982069
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Entity Type | Organization
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Legal Business Name | BALANCED MIND COUNSELING
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 2005 SE 192ND AVE STE 200
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City | CAMAS
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State | WA
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Zip | 98607-7475
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Country | US
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Telephone | 425-224-6088
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 SE 192ND AVE STE 200
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City | CAMAS
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State | WA
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Zip | 98607-7475
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Country | US
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Telephone | 425-224-6088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IRIS LE
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Credential | LMHC
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Telephone | 310-926-5612
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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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