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NPI 1063577591

NPI 1063577591 : KATHY DRESCHER LMFT : OLALLA, WA

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General NPI Number Information
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    NPI Number           |    1063577591
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    Entity Type          |    Individual 
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    Provider Name        |    KATHY DRESCHER LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    13603 FAGERUD RD SE 
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    City                 |    OLALLA
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    State                |    WA
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    Zip                  |    98359-9523
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    Country              |    US
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    Telephone            |    253-857-4366
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    Fax                  |    253-857-2415
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Provider Business Mailing Address
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    Address Line         |    PO BOX 571 
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    City                 |    OLALLA
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    State                |    WA
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    Zip                  |    98359-0571
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    Country              |    US
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    Telephone            |    253-857-4366
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    Fax                  |    253-857-2415
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LF00001223
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    License Number State |    WA
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