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General NPI Number Information
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NPI Number | 1144376187
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Entity Type | Individual
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Provider Name | ANNA LOUISE LINCOLN LMHC, CDP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 5435 SOUTH M ST #107
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City | TACOMA
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State | WA
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Zip | 98408-3530
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Country | US
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Telephone | 253-273-8598
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Fax | 253-590-0224
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Provider Business Mailing Address
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Address Line | 426 S 54TH ST
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City | TACOMA
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State | WA
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Zip | 98408-6551
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Country | US
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Telephone | 253-273-8598
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Fax | 253-590-0224
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00004642
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00006927
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License Number State | WA
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