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General NPI Number Information
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NPI Number | 1780471557
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Entity Type | Organization
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Legal Business Name | 49 DEGREES COUNSELING INC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 110 W CRAWFORD ST STE J
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City | DEER PARK
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State | WA
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Zip | 99006-5614
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Country | US
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Telephone | 509-818-6844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1641
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City | DEER PARK
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State | WA
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Zip | 99006-1641
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Country | US
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Telephone | 509-818-6844
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAY MITCHELL
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Credential | MA, LMFT
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Telephone | 509-818-6844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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