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General NPI Number Information
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NPI Number | 1851980403
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Entity Type | Organization
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Legal Business Name | PEACE AND STRENGTH COUNSELING SERVICES
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Dates
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Enumeration Date | 01/17/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 401 BROADWAY STE 100
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City | TACOMA
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State | WA
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Zip | 98402-3900
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Country | US
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Telephone | 206-880-1359
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Fax |
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Provider Business Mailing Address
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Address Line | 3800A BRIDGEPORT WAY W STE 244
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4416
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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
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Name | DELLA AGBAVON
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Credential |
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Telephone | 206-880-1359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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