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General NPI Number Information
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NPI Number | 1295552867
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Entity Type | Organization
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Legal Business Name | INLET COUNSELING PLLC
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 7500 OLD MILITARY RD NE STE 103
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City | BREMERTON
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State | WA
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Zip | 98311-3242
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Country | US
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Telephone | 360-698-9258
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Fax | 360-698-9296
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Provider Business Mailing Address
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Address Line | 1006 SW MELROSE LN
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City | PORT ORCHARD
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State | WA
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Zip | 98367-8306
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Country | US
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Telephone | 360-471-4398
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD GARTH RETALLICK
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Credential | LMHC
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Telephone | 360-471-4398
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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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