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General NPI Number Information
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NPI Number | 1548021074
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Entity Type | Organization
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Legal Business Name | VANCOUVER PSYCHOLOGICAL AND COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 612 E 17TH ST
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City | VANCOUVER
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State | WA
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Zip | 98663-3428
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Country | US
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Telephone | 360-904-9398
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Fax | 360-368-8747
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Provider Business Mailing Address
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Address Line | 6400 NE HIGHWAY 99 STE G185
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City | VANCOUVER
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State | WA
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Zip | 98665-8799
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Country | US
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Telephone | 360-904-9398
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Fax | 360-368-8747
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST - OWNER
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Name | DR. CYNTHIA E PARKER
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Credential | PHD
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Telephone | 360-904-9398
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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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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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