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General NPI Number Information
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NPI Number | 1821901216
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Entity Type | Organization
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Legal Business Name | THE FORGE AND THE VINE COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 2133 S 67TH AVE
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City | YAKIMA
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State | WA
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Zip | 98903-9497
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Country | US
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Telephone | 509-356-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 S 67TH AVE
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City | YAKIMA
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State | WA
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Zip | 98903-9497
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | NATHAN LEE THOMPSON
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Credential | MA, LMHCA
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Telephone | 509-356-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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