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General NPI Number Information
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NPI Number | 1689180515
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Entity Type | Organization
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Legal Business Name | EMPOWERMENTTREATMENT & COUNSELING CENTER FOR WELLNESS
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 5940 W UNION HILLS DR STE D200
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City | GLENDALE
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State | AZ
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Zip | 85308-1360
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Country | US
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Telephone | 623-810-1663
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Fax |
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Provider Business Mailing Address
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Address Line | 5940 W UNION HILLS DR STE D200
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City | GLENDALE
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State | AZ
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Zip | 85308-1360
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Country | US
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Telephone | 623-810-1663
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | CARYN ATTIANESE
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Credential | MA, NCC, LPC, CEDS
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Telephone | 623-810-1663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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