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General NPI Number Information
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NPI Number | 1639060726
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Entity Type | Organization
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Legal Business Name | COLLISION COUNSELING PLLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1710 144 PL SW
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City | LINWOOD
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State | WA
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Zip | 98087
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Country | US
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Telephone | 425-217-3197
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Fax | 425-740-1391
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Provider Business Mailing Address
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Address Line | 12345 LAKE CITY WAY NE # 2266
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City | SEATTLE
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State | WA
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Zip | 98125-5401
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Country | US
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Telephone | 425-217-3197
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Fax | 425-740-1391
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JEREMIAH STYLES
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Credential |
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Telephone | 425-791-6470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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