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General NPI Number Information
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NPI Number | 1568865152
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Entity Type | Organization
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Legal Business Name | ACT SERVICES, PLLC
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Dates
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Enumeration Date | 09/27/2014
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 7408 N BIRCH CT
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City | SPOKANE
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State | WA
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Zip | 99208-9633
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Country | US
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Telephone | 509-228-8901
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Fax | 509-228-8162
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Provider Business Mailing Address
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Address Line | 7408 N BIRCH CT
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City | SPOKANE
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State | WA
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Zip | 99208-9633
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Country | US
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Telephone | 509-228-8901
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Fax | 509-228-8162
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Authorized Official
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Title or Position | CEO
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Name | CAMI R HUYSMAN
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Credential | MA, LMHC
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Telephone | 509-228-8901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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