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General NPI Number Information
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NPI Number | 1013835370
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Entity Type | Organization
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Legal Business Name | CASCADIA PSYCHODYNAMIC TRAINING CLINIC PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 9656 WATERS AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-5955
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Country | US
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Telephone | 360-630-1663
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Fax |
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Provider Business Mailing Address
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Address Line | 127 ABBOTTS ALY
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284-8826
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Country | US
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Telephone | 360-630-1663
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ISAAC EKBLAD
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Credential | LMHC
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Telephone | 360-630-1663
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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 |
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License Number State |
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