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General NPI Number Information
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NPI Number | 1073980298
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Entity Type | Individual
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Provider Name | STALINA HARRIS LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2535 70TH AVE SW TRLR 5
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City | TUMWATER
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State | WA
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Zip | 98512-7272
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Country | US
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Telephone | 564-237-2800
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Fax | 564-237-2726
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Provider Business Mailing Address
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Address Line | 2535 70TH AVE SW TRLR 5
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City | TUMWATER
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State | WA
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Zip | 98512-7272
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Country | US
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Telephone | 564-237-2800
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Fax | 564-237-2726
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178011177
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61538132
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License Number State | WA
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