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General NPI Number Information
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NPI Number | 1902395478
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Entity Type | Organization
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Legal Business Name | HEALING HARBOR THERAPY GROUP
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 2076 MAIN ST UNIT 4
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City | FERNDALE
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State | WA
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Zip | 98248-9468
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Country | US
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Telephone | 360-664-7370
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 445
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City | FERNDALE
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State | WA
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Zip | 98248-0445
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Country | US
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Telephone | 360-334-7370
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Fax | 360-404-3946
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Authorized Official
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Title or Position | PARTNER
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Name | SUSAN MYERS
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Credential | LMFT
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Telephone | 360-334-7370
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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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