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General NPI Number Information
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NPI Number | 1467126615
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Entity Type | Organization
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Legal Business Name | AMANDA CLEMONS PARENTING THERAPY
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 405 E HARTSON AVE STE 7
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City | SPOKANE
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State | WA
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Zip | 99202-1329
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Country | US
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Telephone | 509-362-5933
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Fax | 509-847-1117
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Provider Business Mailing Address
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Address Line | 405 E HARTSON AVE STE 7
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City | SPOKANE
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State | WA
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Zip | 99202-1329
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Country | US
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Telephone | 509-362-5933
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Fax | 509-570-5155
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA CLEMONS
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Credential | LMHC
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Telephone | 509-362-5933
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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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