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General NPI Number Information
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NPI Number | 1033488515
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Entity Type | Individual
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Provider Name | JULIA ANNE GRAHAM SUDP, LMHC, WSCGC-I
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Gender | Female
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 7106 VANDERMARK RD E
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City | BONNEY LAKE
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State | WA
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Zip | 98391-8622
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Country | US
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Telephone | 253-906-9964
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Fax |
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Provider Business Mailing Address
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Address Line | 7106 VANDERMARK RD E
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City | BONNEY LAKE
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State | WA
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Zip | 98391-8622
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Country | US
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Telephone | 253-906-9964
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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 | LH61516801
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License Number State | WA
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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 | CP00003273
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License Number State | WA
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