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General NPI Number Information
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NPI Number | 1295210896
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Entity Type | Organization
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Legal Business Name | ANCHOR CHRISTIAN COUNSELING, LLC
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 2708 O ST SE
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City | AUBURN
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State | WA
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Zip | 98002-7807
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Country | US
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Telephone | 253-878-5816
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Fax | 253-878-5823
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Provider Business Mailing Address
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Address Line | 2708 O ST SE
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City | AUBURN
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State | WA
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Zip | 98002-7807
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Country | US
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Telephone | 253-878-5816
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Fax | 253-878-5823
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREGORY RUSSELL GATES
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Credential | LMHC, MHP, CDP
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Telephone | 253-878-5816
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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 |
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License Number State |
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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 |
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License Number State |
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