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General NPI Number Information
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NPI Number | 1174816532
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Entity Type | Individual
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Provider Name | LILLIE ANN MC CATTY LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 1700 COOPER POINT RD SW BUILDING C-4
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City | OLYMPIA
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State | WA
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Zip | 98502-1104
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Country | US
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Telephone | 360-259-7179
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12962
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City | OLYMPIA
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State | WA
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Zip | 98508-2962
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Country | US
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Telephone | 360-259-7179
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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