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General NPI Number Information
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NPI Number | 1134325244
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Entity Type | Individual
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Provider Name | LAWRENCE ALAN DARIENZO MA
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Gender | Male
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 27877 W GILLIGAN CRK RD
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284
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Country | US
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Telephone | 360-856-0973
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 645
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City | CLEAR LAKE
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State | WA
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Zip | 98235
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Country | US
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Telephone | 360-856-0973
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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 | LH00005464
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00001517
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License Number State | WA
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