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General NPI Number Information
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NPI Number | 1528306057
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Entity Type | Organization
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Legal Business Name | FAMILY FOUNDATIONS COUNSELING
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 6512 20TH STREET CT W STE. B
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City | FIRCREST
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State | WA
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Zip | 98466-6212
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Country | US
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Telephone | 253-566-5559
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Fax | 253-565-0274
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Provider Business Mailing Address
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Address Line | 6512 20TH STREET CT W STE. B
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City | FIRCREST
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State | WA
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Zip | 98466-6212
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Country | US
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Telephone | 253-566-5559
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Fax | 253-565-0274
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | BRIAN R. TINGLEY
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Credential | MS, LMFT
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Telephone | 253-566-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00002076
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License Number State | WA
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