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General NPI Number Information
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NPI Number | 1598697328
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Entity Type | Organization
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Legal Business Name | PURE WELLNESS COUNSELING, LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD STE 113
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5994
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Country | US
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Telephone | 480-448-9985
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Fax | 480-739-0409
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Provider Business Mailing Address
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Address Line | 21321 E OCOTILLO RD STE 113
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5994
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Country | US
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Telephone | 480-448-9985
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Fax | 480-739-0409
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Authorized Official
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Title or Position | BUSINESS OWNER/THERAPIST
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Name | JILL DORENBUSH
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Credential | LPC
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Telephone | 480-448-9985
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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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