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General NPI Number Information
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NPI Number | 1366306466
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Entity Type | Organization
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Legal Business Name | PENGUIN COUNSELING AND RECOVERY SERVICES
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 201 160TH ST S STE 101
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City | SPANAWAY
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State | WA
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Zip | 98387-8508
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Country | US
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Telephone | 253-878-0536
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 382
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City | ELBE
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State | WA
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Zip | 98330-0382
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Country | US
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Telephone | 253-878-0536
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL SCARBERRY
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Credential | LHMC-A, SUDP
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Telephone | 253-878-0536
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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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