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General NPI Number Information
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NPI Number | 1366819203
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Entity Type | Organization
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Legal Business Name | KEYSTONE COUNSELING
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 104 W MAIN SUITE 206
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City | PUYALLUP
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State | WA
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Zip | 98371-8904
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Country | US
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Telephone | 253-370-8670
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Fax |
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Provider Business Mailing Address
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Address Line | 12425 64TH AVE E
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City | PUYALLUP
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State | WA
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Zip | 98373-8809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLEE FRANKS
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Credential | LMFT
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Telephone | 253-223-8543
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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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