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General NPI Number Information
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NPI Number | 1750581070
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Entity Type | Organization
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Legal Business Name | TRI-CITIES COMMUNITY HEALTH
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 715 W COURT ST
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City | PASCO
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State | WA
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Zip | 99301
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Country | US
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Telephone | 509-545-6506
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Fax | 509-546-0520
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Provider Business Mailing Address
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Address Line | PO BOX 1452
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City | PASCO
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State | WA
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Zip | 99301
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Country | US
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Telephone | 509-547-2204
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Fax | 509-542-8836
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Authorized Official
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Title or Position | CEO
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Name | KRISTY NEEDHAM
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Credential |
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Telephone | 509-547-2204
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #4
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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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