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General NPI Number Information
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NPI Number | 1649886839
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Entity Type | Organization
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Legal Business Name | DAYBREAK COUNSELING PLLC
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 01/14/2024
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Provider Practice Location Address
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Address Line | 3212 NW BYRON ST STE 201
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City | SILVERDALE
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State | WA
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Zip | 98383-9154
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Country | US
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Telephone | 360-519-4303
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 NW BYRON ST
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City | SILVERDALE
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State | WA
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Zip | 98383-9154
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Country | US
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Telephone | 360-519-4303
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | ANDI HEFTON
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Credential | MS, LMHC, NPI
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Telephone | 360-519-4303
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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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