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General NPI Number Information
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NPI Number | 1689383531
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Entity Type | Organization
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Legal Business Name | HOUSE OF ZEN PSYCH AND COUNSELING SERVICES
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 4805 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85031-4050
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Country | US
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Telephone | 602-772-6659
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 E FRYE RD
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City | PHOENIX
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State | AZ
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Zip | 85048-8530
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. AMBER ADAMS
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Credential |
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Telephone | 602-772-6659
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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