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General NPI Number Information
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NPI Number | 1023763810
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Entity Type | Organization
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Legal Business Name | DAWN ROSE COUNSELING, PLLC
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 12621 14TH AVE SW
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City | BURIEN
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State | WA
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Zip | 98146-3035
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Country | US
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Telephone | 206-225-6949
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Fax |
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Provider Business Mailing Address
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Address Line | 12621 14TH AVE SW
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City | BURIEN
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State | WA
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Zip | 98146-3035
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Country | US
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Telephone | 206-225-6949
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWN ROSE
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Credential | MS, CRC, LMHC, SUDP
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Telephone | 206-774-6786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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