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General NPI Number Information
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NPI Number | 1437536281
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Entity Type | Organization
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Legal Business Name | HEAVEN SENT COUNSELING
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 9013 NE HIGHWAY 99 SUITE H
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City | VANCOUVER
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State | WA
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Zip | 98665-8942
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Country | US
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Telephone | 360-319-4759
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Fax |
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Provider Business Mailing Address
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Address Line | 9013 NE HIGHWAY 99 SUITE H
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City | VANCOUVER
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State | WA
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Zip | 98665-8942
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Country | US
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Telephone | 360-314-4759
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH PROFESSIONAL
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Name | NANNETTE MYERS
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Credential | MS, LMHC, LMFTA, CDP
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Telephone | 360-314-4759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 603007688
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License Number State | WA
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