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1053236778 NPI number — RHEANNA NICOLE YAKUDA DOMINICI CRC, LMHCA WA

NPI Number: 1053236778
Health Care Provider/Practitioner: RHEANNA NICOLE YAKUDA DOMINICI CRC, LMHCA WA

Information about “1053236778” NPI (RHEANNA NICOLE YAKUDA DOMINICI CRC, LMHCA WA) exists in 1053236778 in HTML format HTML  |  1053236778 in plain Text format TXT  |  1053236778 in PDF (Portable Document Format) PDF  |  1053236778 in an XML format XML  formats.

NPI Number : 1053236778 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053236778",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YAKUDA DOMINICI",
    "FirstName": "RHEANNA",
    "MiddleName": "NICOLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRC, LMHCA WA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "HAKODAMACHI 594-2",
    "SecondLineMailingAddress": "RYUMIERU A 115",
    "MailingAddressCityName": "MAEBASHI",
    "MailingAddressStateName": "GUNMA",
    "MailingAddressPostalCode": "3710837",
    "MailingAddressCountryCode": "JP",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "436 MCPHEE RD SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLYMPIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98502-5014",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-799-5782",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/11/2026",
    "LastUpdateDate": "08/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MHCA.MC.70088122",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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