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General NPI Number Information
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NPI Number | 1114418753
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Entity Type | Individual
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Provider Name | ELISA A POPE LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 04/21/2024
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Provider Practice Location Address
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Address Line | 2323 N DISCOVERY PL
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1566
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Country | US
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Telephone | 509-747-4174
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 N VAN MARTER RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-2505
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Country | US
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Telephone | 425-241-8103
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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 | LH61250258
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License Number State | WA
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