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General NPI Number Information
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NPI Number | 1972859593
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Entity Type | Organization
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Legal Business Name | STILLWATER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 1206 N DOLARWAY RD 203
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City | ELLENSBURG
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State | WA
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Zip | 98926-8392
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Country | US
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Telephone | 509-925-1840
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 N DOLARWAY RD 203
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City | ELLENSBURG
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State | WA
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Zip | 98926-8392
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Country | US
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Telephone | 509-925-1840
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAUREEN WOON
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Credential | L.M.H.C.
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Telephone | 509-925-1840
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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 | LH60219078
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License Number State | WA
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