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General NPI Number Information
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NPI Number | 1750807897
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Entity Type | Organization
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Legal Business Name | PASHAPLUM COUNSELING PLLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2722 COLBY AVE STE 507
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City | EVERETT
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State | WA
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Zip | 98201-3533
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Country | US
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Telephone | 425-312-2512
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Fax |
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Provider Business Mailing Address
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Address Line | 2508 LOMBARD AVE
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City | EVERETT
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State | WA
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Zip | 98201-3026
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Country | US
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Telephone | 520-991-5305
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PASHA PLUM GRANT
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Credential | LICSW
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Telephone | 425-312-2512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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