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General NPI Number Information
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NPI Number | 1851277495
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Entity Type | Organization
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Legal Business Name | CALM IN THE WILDERNESS MINISTRIES
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3911 9TH ST SW STE 205
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City | PUYALLUP
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State | WA
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Zip | 98373-5946
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Country | US
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Telephone | 760-881-5999
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Fax | 442-255-1126
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Provider Business Mailing Address
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Address Line | PO BOX 731915
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City | PUYALLUP
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State | WA
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Zip | 98373-0045
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Country | US
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Telephone | 442-348-3822
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Fax | 442-255-1126
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Authorized Official
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Title or Position | CEO/LMFT
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Name | ANTHONIE ONTREAY ETIENNE
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Credential | MA, MMIN, MDIV
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Telephone | 760-881-5559
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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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