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General NPI Number Information
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NPI Number | 1891654562
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Entity Type | Organization
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Legal Business Name | BREAKING CHAINS COUNSELING LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 2611 S BAY RD NE
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City | OLYMPIA
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State | WA
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Zip | 98506-2964
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Country | US
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Telephone | 360-209-3271
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Fax |
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Provider Business Mailing Address
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Address Line | 2611 S BAY RD NE
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City | OLYMPIA
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State | WA
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Zip | 98506-2964
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Country | US
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Telephone | 360-209-3271
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | DAVID MATTHEW BROWN
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Credential | LMHCA
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Telephone | 360-209-3271
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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 |
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