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General NPI Number Information
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NPI Number | 1144648619
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Entity Type | Individual
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Provider Name | JASMINE CARLEN CEJNA LMHC, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 801 W FOURTH PLAIN BLVD SUITE 300
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City | VANCOUVER
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State | WA
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Zip | 98660-2013
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Country | US
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Telephone | 971-208-5853
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Fax |
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Provider Business Mailing Address
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Address Line | 801 W FOURTH PLAIN BLVD SUITE 300
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City | VANCOUVER
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State | WA
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Zip | 98660-2013
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Country | US
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Telephone | 971-208-5853
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO60444935
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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 | LH60589822
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License Number State | WA
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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 | C4161
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License Number State | OR
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