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General NPI Number Information
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NPI Number | 1699153767
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Entity Type | Organization
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Legal Business Name | TENACITY COUNSELING AND COURT SERVICES, PLLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 16113 DENSMORE AVE N
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City | SHORELINE
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State | WA
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Zip | 98133-5828
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Country | US
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Telephone | 206-696-1565
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 77062
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City | SEATTLE
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State | WA
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Zip | 98177-0062
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Country | US
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Telephone | 206-696-1565
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. MARINA HORSTING
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Credential | M.A.
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Telephone | 206-696-1565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | LH60102069
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LH60102069
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License Number State | WA
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