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NPI 1144166901

NPI 1144166901 : COUNTY OF SKAGIT : MOUNT VERNON, WA

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General NPI Number Information
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    NPI Number           |    1144166901
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNTY OF SKAGIT 
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Dates
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    Enumeration Date     |    04/24/2026
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    Last Update Date     |    04/24/2026
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Provider Practice Location Address
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    Address Line         |    201 SUZANNE LN 
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    City                 |    MOUNT VERNON
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    State                |    WA
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    Zip                  |    98273-9514
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    Country              |    US
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    Telephone            |    360-416-1965
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 SUZANNE LN 
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    City                 |    MOUNT VERNON
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    State                |    WA
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    Zip                  |    98273-9514
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CORRECTIONAL HEALTH PROGRAM MANAGER
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    Name                 |    MR. KUMARAN  KONESWARAN 
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    Credential           |    MPH
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    Telephone            |    360-416-1965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) 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        |    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 #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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