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Organization
NORTHWEST LIFESTAR, INC
Active
Organization
NORTHWEST LIFESTAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT CICHOSKI LPC, CSAT, CCPS (AUTHORIZED OFFICIAL)
(000) 000-0000
Entity
Organization
Contact information
Practice address
8380 WARREN PKWY STE 604, FRISCO, TX 75034-4253
(503) 747-8171
(501) 443-8594
Mailing address
1300 ARI AVE, CENTERTON, AR 72719-7073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/29/2026
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