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General NPI Number Information
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NPI Number | 1386147031
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Entity Type | Organization
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Legal Business Name | STRENGTH FROM WITHIN LLC
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 9901 NE 7TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98685-4523
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Country | US
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Telephone | 360-609-9167
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 NE 7TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98685-4523
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Country | US
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Telephone | 360-609-9167
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CHRISTIE SUSAN RYAN
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Credential | LMHC
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Telephone | 360-609-9167
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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 | LH60414139
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License Number State | WA
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