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General NPI Number Information
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NPI Number | 1902036015
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Entity Type | Organization
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Legal Business Name | PEAK SOLUTIONS COUNSELING, LLC
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD # B105
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City | QUEEN CREEK
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State | AZ
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Zip | 85242-5996
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Country | US
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Telephone | 480-235-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 21321 E OCOTILLO RD # B105
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City | QUEEN CREEK
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State | AZ
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Zip | 85242-5996
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Country | US
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Telephone | 480-235-6680
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. WADE KING
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Credential | MA
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Telephone | 713-894-5571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BH-3353
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License Number State | AZ
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