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General NPI Number Information
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NPI Number | 1477186260
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Entity Type | Organization
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Legal Business Name | SARDONYX COUNSELING, PLLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 59 E QUEEN AVE STE 214D
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City | SPOKANE
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State | WA
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Zip | 99207-1404
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Country | US
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Telephone | 509-703-5136
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Fax |
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Provider Business Mailing Address
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Address Line | 59 E QUEEN AVE STE 214D
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City | SPOKANE
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State | WA
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Zip | 99207-1404
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Country | US
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Telephone | 509-703-5136
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH CLINICIAN
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Name | STEVE BAPTISTE THOMPSON
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Credential | M.ED., LMHC, MHP
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Telephone | 509-703-5136
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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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