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General NPI Number Information
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NPI Number | 1336800564
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Entity Type | Organization
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Legal Business Name | CONTIGO THERAPY AND CONSULTATION SERVICES PLLC
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 6912 NE 72ND WAY
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City | VANCOUVER
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State | WA
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Zip | 98661-1645
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Country | US
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Telephone | 650-619-2809
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Fax |
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Provider Business Mailing Address
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Address Line | 6912 NE 72ND WAY
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City | VANCOUVER
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State | WA
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Zip | 98661-1645
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Country | US
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Telephone | 650-619-2809
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CLINICAL SOCIAL WORKER
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Name | CARLOTA DORN
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Credential | MSW, LCSW
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Telephone | 503-272-1155
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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