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General NPI Number Information
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NPI Number | 1265197768
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Entity Type | Organization
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Legal Business Name | CALMLI GUIDED PSYCHOTHERAPY
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 5324 84TH ST E
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City | TACOMA
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State | WA
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Zip | 98446-5627
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Country | US
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Telephone | 253-262-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 202ND STREET CT E
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City | SPANAWAY
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State | WA
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Zip | 98387-1825
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOLONDA MASSEY
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Credential |
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Telephone | 253-262-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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