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General NPI Number Information
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NPI Number | 1730787763
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Entity Type | Organization
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Legal Business Name | FOR THE CULTURE COUNSELING SERVICES
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 4301 S PINE ST STE 92
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City | TACOMA
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State | WA
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Zip | 98409-7259
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Country | US
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Telephone | 206-383-0810
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 S PINE ST STE 92
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City | TACOMA
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State | WA
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Zip | 98409-7259
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Country | US
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Telephone | 253-507-5334
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Fax | 253-330-5182
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. KISELA CANADA
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Credential | SUDP
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Telephone | 253-507-5334
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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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