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General NPI Number Information
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NPI Number | 1124757414
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Entity Type | Organization
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Legal Business Name | ZETEO MINISTRIES
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 15619 16TH AVE NW
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City | MARYSVILLE
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State | WA
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Zip | 98271-8197
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Country | US
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Telephone | 360-230-8482
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Fax | 425-548-1734
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Provider Business Mailing Address
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Address Line | 13431 56TH DR NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-7758
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Country | US
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Telephone | 360-230-8482
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL RICHARD ROBERSON
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Credential |
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Telephone | 360-230-8482
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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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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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