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General NPI Number Information
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NPI Number | 1295903318
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Entity Type | Organization
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Legal Business Name | ALLIED COUNSELING SERVICES
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 555 MCDONALD ST
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-7963
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Country | US
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Telephone | 360-370-5280
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1261
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-1261
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Country | US
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Telephone | 360-370-5280
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CLINTON WADE MILLS
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Credential | LCDP, RC
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Telephone | 360-370-5280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CP00006237
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License Number State | WA
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