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General NPI Number Information
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NPI Number | 1235594201
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Entity Type | Organization
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Legal Business Name | SOUND CONNECTIONS COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 4313 6TH AVE SE STE C
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City | LACEY
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State | WA
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Zip | 98503-1072
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Country | US
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Telephone | 208-250-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 4313 6TH AVE SE STE C
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City | LACEY
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State | WA
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Zip | 98503-1072
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Country | US
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Telephone | 208-250-5133
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Fax |
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Authorized Official
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Title or Position | OWNER, COUNSELOR
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Name | DR. LORI ANNE SIRS
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Credential | DSW, LICSW
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Telephone | 208-250-5133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | SC 60611641
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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