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NPI 1578450177

NPI 1578450177 : FORENSIC TREATMENT SERVICES PLLC : MOUNT VERNON, WA

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General NPI Number Information
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    NPI Number           |    1578450177
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    Entity Type          |    Organization 
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    Legal Business Name  |    FORENSIC TREATMENT SERVICES PLLC 
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Dates
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    Enumeration Date     |    06/18/2025
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    Last Update Date     |    06/18/2025
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Provider Practice Location Address
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    Address Line         |    414B SNOQUALMIE ST 
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    City                 |    MOUNT VERNON
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    State                |    WA
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    Zip                  |    98273-4224
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    Country              |    US
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    Telephone            |    206-714-2180
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    414B SNOQUALMIE ST 
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    City                 |    MOUNT VERNON
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    State                |    WA
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    Zip                  |    98273-4224
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    Country              |    US
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    Telephone            |    206-714-2180
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CLINICAL DIRECTOR
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    Name                 |    MRS. ALLISON  OSBORNE 
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    Credential           |    MSW, LICSW, SUDP
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    Telephone            |    206-714-2180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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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        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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