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General NPI Number Information
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NPI Number | 1093437519
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Entity Type | Individual
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Provider Name | KELLI HACKETT CRANE LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 201 NE PARK PLAZA DR STE 200
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City | VANCOUVER
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State | WA
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Zip | 98684-5871
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Country | US
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Telephone | 503-765-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 13023 NE HIGHWAY 99 STE 7-60
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City | VANCOUVER
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State | WA
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Zip | 98686-2767
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Country | US
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Telephone | 503-765-9080
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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 |
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License Number State |
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