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General NPI Number Information
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NPI Number | 1013301456
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Entity Type | Individual
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Provider Name | LAUREL GRANGER M.A., L.M.H.C
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Gender | Female
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 1900 S PUGET DR SUITE 205
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City | RENTON
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State | WA
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Zip | 98055-4421
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Country | US
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Telephone | 425-736-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 S PUGET DR SUITE 205
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City | RENTON
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State | WA
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Zip | 98055-4421
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Country | US
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Telephone | 425-736-1604
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LH 60441308
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License Number State | WA
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