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General NPI Number Information
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NPI Number | 1144735911
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Entity Type | Organization
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Legal Business Name | RENTON COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 12/02/2017
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 15 S GRADY WAY STE 500
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City | RENTON
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State | WA
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Zip | 98057-3217
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Country | US
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Telephone | 425-444-5902
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Fax |
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Provider Business Mailing Address
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Address Line | 15 S GRADY WAY STE 500
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City | RENTON
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State | WA
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Zip | 98057-3217
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Country | US
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Telephone | 425-444-5902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERA P DRAGONCHUK
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Credential | LMHC
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Telephone | 425-444-5902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00011247
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License Number State | WA
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