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General NPI Number Information
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NPI Number | 1609454537
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Entity Type | Organization
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Legal Business Name | AZIMUTH COUNSELING PLLC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1206 N DOLARWAY RD STE 205
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City | ELLENSBURG
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State | WA
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Zip | 98926-8392
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Country | US
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Telephone | 509-899-7685
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Fax | 855-644-1338
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Provider Business Mailing Address
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Address Line | PO BOX 465
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City | ELLENSBURG
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State | WA
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Zip | 98926-8392
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Country | US
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Telephone | 509-899-7685
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Fax | 855-644-1338
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Authorized Official
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Title or Position | OWNER PSYCHOTHERAPIST
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Name | TASHA L HANSEN
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Credential | MSW, LICSW
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Telephone | 509-899-7685
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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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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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