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General NPI Number Information
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NPI Number | 1629349253
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Entity Type | Organization
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Legal Business Name | ACE COUNSELING
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 2302 S UNION AVE SUITE C-29
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City | TACOMA
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State | WA
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Zip | 98405-1300
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Country | US
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Telephone | 253-879-1200
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Fax | 253-879-0103
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Provider Business Mailing Address
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Address Line | 2302 S UNION AVE SUITE C-29
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City | TACOMA
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State | WA
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Zip | 98405-1300
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Country | US
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Telephone | 253-879-1200
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Fax | 253-879-0103
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MS. RUTH ANN CURRAH
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Credential | PHD
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Telephone | 253-879-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LH5185
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License Number State | WA
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