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General NPI Number Information
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NPI Number | 1629829544
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Entity Type | Organization
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Legal Business Name | FAIT
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 15640 NE FOURTH PLAIN BLVD STE 106/607
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City | VANCOUVER
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State | WA
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Zip | 98682
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Country | US
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Telephone | 971-204-8910
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Fax |
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Provider Business Mailing Address
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Address Line | 15640 NE FOURTH PLAIN BLVD STE 106607
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City | VANCOUVER
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State | WA
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Zip | 98682-5141
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Country | US
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Telephone | 971-204-8910
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARIANNA KEE
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Credential | LMHC
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Telephone | 971-204-8910
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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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