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General NPI Number Information
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NPI Number | 1417327883
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Entity Type | Organization
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Legal Business Name | A BRIEF COUNSELING CENTER
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 9507 N DIVISION ST THE HOLLAND BUILDING, SUITE A
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City | SPOKANE
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State | WA
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Zip | 99218-1248
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Country | US
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Telephone | 509-466-6632
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Fax | 509-466-0117
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Provider Business Mailing Address
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Address Line | 9507 N DIVISION ST THE HOLLAND BUILDING, SUITE A
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City | SPOKANE
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State | WA
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Zip | 99218-1248
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Country | US
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Telephone | 509-466-6632
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Fax | 509-466-0117
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | DR. RAY WILLIAM SMITH
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Credential | ED.D.
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Telephone | 509-466-6632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH00004487
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License Number State | WA
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