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BLUE STAR COUNSELING, PLLC

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Company Details

Legal Name: BLUE STAR COUNSELING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: September 7th 2022
Date of Dissolution: December 31st 2024
Expiration date: 30 Sep 2025
UBI Number: 604 966 323
ZIP code: 99203
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2020 E 29TH AVE, SUITE 215, SPOKANE, WA, 99203-3949, UNITED STATES

Contact Details

E-Mail: JEFFERY.CLARKMSW@PROTONMAIL.COM
Phone Number: +1 562-999-2024

Nature of Business

Health Care, Social Assistance & Service Organization, Any Lawful Purpose

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Registered Agent Information

Name Role Address
JEFFERY CLARK Registered Agent 2020 E 29TH AVE, SUITE 215, SPOKANE, WA, 99203-3949, UNITED STATES

Key Officers & Management

Name Role Address
JEFFERY CLARK Executor 100 N HOWARD ST STE W, SPOKANE, WA, 99201-0508, UNITED STATES
JEFFERY CLARK Governing Person 725 OSPREY DR, CHENEY, WA, 99004-5222, UNITED STATES

National Provider Identifier

NPI Number:
1033955018
Certification Date:
2024-08-21

Authorized Person:

Name:
JEFFERY DUANE CLARK
Role:
CLINICAL SOCIAL WORKER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

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