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General NPI Number Information
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NPI Number | 1134753775
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Entity Type | Individual
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Provider Name | LAURA WILLIAMSON EDD, MAC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2020
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1940 116TH AVE NE STE 103
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City | BELLEVUE
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State | WA
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Zip | 98004-3011
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Country | US
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Telephone | 425-462-8558
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Fax | 425-462-8556
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Provider Business Mailing Address
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Address Line | 1940 116TH AVE NE STE 103
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City | BELLEVUE
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State | WA
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Zip | 98004-3011
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Country | US
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Telephone | 206-849-6322
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Fax | 425-462-8556
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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 | LH61467761
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License Number State | WA
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