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General NPI Number Information
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NPI Number | 1689426645
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Entity Type | Organization
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Legal Business Name | ALPINE CHRISTIAN COUNSELING LLC
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 107 W JEWETT BLVD STE 700
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City | WHITE SALMON
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State | WA
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Zip | 98672-8974
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Country | US
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Telephone | 253-332-1113
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | HUSUM
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State | WA
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Zip | 98623-0188
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Country | US
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Telephone | 253-332-1113
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | NATASHA HENDRICKS
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Credential | LMHC
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Telephone | 253-332-1113
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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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Taxonomy #2
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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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