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General NPI Number Information
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NPI Number | 1902772783
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Entity Type | Organization
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Legal Business Name | ANCHORBRIDGE ASSESSMENTS AND REFERRALS LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 6501 E I ST
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City | TACOMA
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State | WA
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Zip | 98404-1863
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Country | US
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Telephone | 253-954-7848
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Fax | 253-954-7848
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Provider Business Mailing Address
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Address Line | PO BOX 11411
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City | TACOMA
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State | WA
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Zip | 98411-0411
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Country | US
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Telephone | 253-954-7848
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Fax |
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Authorized Official
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Title or Position | SUBSTANCE USE DISORDER PROFESSIONAL
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Name | MRS. EBONIE MARIE TENNISON
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Credential | CP61011133
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Telephone | 253-954-7848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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