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General NPI Number Information
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NPI Number | 1578734778
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Entity Type | Organization
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Legal Business Name | WHOLISTIC COUNSELING AND WELLNESS ALTERNATIVES LLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 10640 N 28TH DR STE C101
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City | PHOENIX
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State | AZ
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Zip | 85029-2993
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Country | US
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Telephone | 800-579-1407
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Fax | 877-217-5895
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Provider Business Mailing Address
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Address Line | 10640 N 28TH DR STE C101
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City | PHOENIX
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State | AZ
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Zip | 85029-2993
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Country | US
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Telephone | 800-579-1407
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Fax | 877-217-5895
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIAN FAITH NUNES
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Credential |
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Telephone | 800-579-1407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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