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General NPI Number Information
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NPI Number | 1053236778
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Entity Type | Individual
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Provider Name | RHEANNA NICOLE YAKUDA DOMINICI CRC, LMHCA WA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 436 MCPHEE RD SW
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City | OLYMPIA
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State | WA
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Zip | 98502-5014
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Country | US
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Telephone | 360-799-5782
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Fax |
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Provider Business Mailing Address
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Address Line | HAKODAMACHI 594-2 RYUMIERU A 115
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City | MAEBASHI
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State | GUNMA
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Zip | 3710837
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Country | JP
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Telephone |
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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 | MHCA.MC.70088122
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License Number State | WA
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