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General NPI Number Information
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NPI Number | 1770074031
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Entity Type | Organization
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Legal Business Name | ESS COUNSELING LLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 94-615 KAHAKEA ST APT 10C
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City | WAIPAHU
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State | HI
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Zip | 96797-1146
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Country | US
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Telephone | 808-499-8939
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Fax | 808-748-0496
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Provider Business Mailing Address
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Address Line | 94-615 KAHAKEA ST APT 10C
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City | WAIPAHU
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State | HI
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Zip | 96797-1146
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Country | US
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Telephone | 808-499-8939
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Fax | 808-748-0496
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. TIA CLAYPOOL
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Credential | NCC,LMHC,LPC,RPT
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Telephone | 808-499-8939
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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 | 483
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License Number State | HI
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Taxonomy #2
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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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