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General NPI Number Information
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NPI Number | 1508559824
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Entity Type | Organization
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Legal Business Name | HEALING GLO COUNSELING, LLC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 18414 1ST AVENUE CT E
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City | SPANAWAY
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State | WA
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Zip | 98387-4903
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Country | US
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Telephone | 678-934-1745
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Fax |
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Provider Business Mailing Address
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Address Line | 18414 1ST AVENUE CT E
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City | SPANAWAY
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State | WA
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Zip | 98387-4903
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Country | US
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Telephone | 678-934-1745
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | CIERRA GLOECKNER
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Credential |
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Telephone | 253-921-2960
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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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