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General NPI Number Information
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NPI Number | 1790372043
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Entity Type | Organization
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Legal Business Name | TRY CREATIVE COUNSELING SOLUTION
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 2038 CENTERWOOD DR SE
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City | OLYMPIA
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State | WA
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Zip | 98501-3727
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Country | US
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Telephone | 360-970-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 2038 CENTERWOOD DR SE
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City | OLYMPIA
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State | WA
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Zip | 98501-3727
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Country | US
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Telephone | 360-970-9878
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. HEATHER JEANINE VAN MILL
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Credential | L.I.C.S.W.
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Telephone | 360-970-9878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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