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General NPI Number Information
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NPI Number | 1598907651
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE COUNSELING, INC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 6625 S 190TH ST STE B103
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City | KENT
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State | WA
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Zip | 98032-2115
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Country | US
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Telephone | 425-251-1933
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Fax | 425-776-6414
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Provider Business Mailing Address
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Address Line | 6625 S 190TH ST STE B103
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City | KENT
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State | WA
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Zip | 98032-2115
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Country | US
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Telephone | 425-251-1933
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Fax | 425-251-4996
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Authorized Official
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Title or Position | VP
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Name | OKSANA P KIMPEL
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Credential | MS, NCAC I, SUDP
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Telephone | 206-250-0772
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 17 1225 00
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License Number State | WA
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Taxonomy #3
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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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