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NPI 1922899384

NPI 1922899384 : REFLECT BEHAVIORAL HEALTH BILLING : LOON LAKE, WA

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General NPI Number Information
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    NPI Number           |    1922899384
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    Entity Type          |    Organization 
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    Legal Business Name  |    REFLECT BEHAVIORAL HEALTH BILLING 
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Dates
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    Enumeration Date     |    05/15/2025
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    41903 ARNOLD ROAD 
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    City                 |    LOON LAKE
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    State                |    WA
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    Zip                  |    99148
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    Country              |    US
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    Telephone            |    719-290-9547
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 29 
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    City                 |    LOON LAKE
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    State                |    WA
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    Zip                  |    99148-0029
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    Country              |    US
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    Telephone            |    719-290-9547
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DEBRA S MASON 
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    Credential           |    
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    Telephone            |    719-290-9547
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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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