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General NPI Number Information
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NPI Number | 1487784831
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Entity Type | Organization
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Legal Business Name | ASSOCIATED COUNSELORS & PSYCHOTHERAPISTS
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 108 SE 124TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98684-6015
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Country | US
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Telephone | 360-256-0253
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Fax |
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Provider Business Mailing Address
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Address Line | 108 SE 124TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98684-6015
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Country | US
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Telephone | 360-256-0253
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. DEBRA A BELSHEE-STORLIE
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Credential | PH.D.
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Telephone | 360-256-0253
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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 | LH00005386
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY00001991
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License Number State | WA
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