Provider Information for 1437547007
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A NEW BEGINNING COUNSELING CENTER LLC
Organization Subpart: NO
NPI: 1437547007
Last Updated: 2015-01-05
Certification Date:
Certification Date:
Details
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NPI | 1437547007 | ||||||||||||
Enumeration Date | 2015-01-05 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: SHEILA NICOLE MANSUROV MA, LMHC, SOTP Title: Owner/Therapist Phone: 4252986223 | ||||||||||||
Mailing Address | 16541 REDMOND WAY # 501C REDMOND, WA 98052-4492 United States Phone: 425-298-6223 | Fax: | ||||||||||||
Primary Practice Address | 11415 NE 128TH ST STE 100 KIRKLAND, WA 98034-6314 United States Phone: 425-298-6223 | Fax: | ||||||||||||
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