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General NPI Number Information
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NPI Number | 1821789769
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Entity Type | Organization
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Legal Business Name | ANEW COUNSELING AND WELLNESS, PLLC
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 3303 NE 44TH STREET SUITE. 3
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City | VANCOUVER
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State | WA
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Zip | 98663
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Country | US
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Telephone | 360-567-7154
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Fax |
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Provider Business Mailing Address
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Address Line | 7202 NE HIGHWAY 99 STE 106-102
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City | VANCOUVER
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State | WA
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Zip | 98665-8932
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Country | US
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Telephone | 360-567-7154
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/CLINICIAN
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Name | MS. KEINA RITENBURGH
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Credential | LCSW
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Telephone | 360-567-7154
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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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