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General NPI Number Information
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NPI Number | 1720771025
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Entity Type | Organization
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Legal Business Name | BE A BETTER YOU COUNSELING AND REFERRAL SERVICES
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 140 NORTHEAST, WA-300 SUITE 5
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City | BELFAIR
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State | WA
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Zip | 98528
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Country | US
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Telephone | 360-490-1624
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Fax |
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Provider Business Mailing Address
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Address Line | 41 E HAVEN CT N
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City | SHELTON
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State | WA
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Zip | 98584-8500
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Country | US
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Telephone | 360-490-1624
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Fax |
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Authorized Official
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Title or Position | SUDP, OWNER
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Name | JAMIE ELLERTSEN
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Credential | BA, SUDP
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Telephone | 360-490-1624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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