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1144358946 NPI number — ROXANNE CLAIRE DUBOIS CULL M.A., LMHC

NPI Number: 1144358946
Health Care Provider/Practitioner: ROXANNE CLAIRE DUBOIS CULL M.A., LMHC

Information about “1144358946” NPI (ROXANNE CLAIRE DUBOIS CULL M.A., LMHC) exists in 1144358946 in HTML format HTML  |  1144358946 in plain Text format TXT  |  1144358946 in PDF (Portable Document Format) PDF  |  1144358946 in an XML format XML  formats.

NPI Number : 1144358946 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144358946",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CULL",
    "FirstName": "ROXANNE",
    "MiddleName": "CLAIRE DUBOIS",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A., LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CULL",
    "OtherFirstName": "C.",
    "OtherMiddleName": "ROXANNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LMHC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 64658",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98464-0658",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-564-4505",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6212 75TH ST W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98499-8368",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-312-9352",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2007",
    "LastUpdateDate": "10/31/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "LH 60182136",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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