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General NPI Number Information
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NPI Number | 1447454624
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Entity Type | Organization
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Legal Business Name | CEDAR PARK COUNSELING NETWORK
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 18737 68TH AVE NE
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City | KENMORE
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State | WA
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Zip | 98028-2606
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Country | US
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Telephone | 425-939-1490
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Fax | 425-485-8369
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Provider Business Mailing Address
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Address Line | 18737 68TH AVE NE
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City | KENMORE
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State | WA
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Zip | 98028-2606
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Country | US
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Telephone | 425-939-1490
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Fax | 425-485-8369
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. GARY RIGHTENOUR
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Credential |
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Telephone | 425-939-1490
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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 | 205
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 205
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License Number State | WA
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