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General NPI Number Information
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NPI Number | 1043760325
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Entity Type | Organization
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Legal Business Name | LAURA PUCHER COUNSELING PLLC
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 07/09/2017
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Provider Practice Location Address
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Address Line | 2025 112TH AVE NE 100
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City | BELLEVUE
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State | WA
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Zip | 98004-2943
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Country | US
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Telephone | 425-301-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 2671 108TH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98004-2031
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Country | US
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Telephone | 425-301-8683
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LAURA MARIE PUCHER
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Credential | LMHC
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Telephone | 425-301-8683
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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 60685657
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License Number State | WA
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