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General NPI Number Information
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NPI Number | 1912851361
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Entity Type | Organization
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Legal Business Name | TREE OF LIFE COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 752 OFFICERS ROW
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City | VANCOUVER
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State | WA
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Zip | 98661-3845
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Country | US
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Telephone | 971-270-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 752 OFFICERS ROW
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City | VANCOUVER
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State | WA
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Zip | 98661-3845
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Country | US
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Telephone | 971-270-0880
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Fax |
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Authorized Official
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Title or Position | OWNER / MENTAL HEALTH THERAPIST
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Name | DAVYD KAZAKOV
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Credential | LMHC, MA, MHP, NCC
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Telephone | 971-270-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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