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NPI 1205655586

NPI 1205655586 : ANGELA ATTRI, LLC : KENT, WA

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General NPI Number Information
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    NPI Number           |    1205655586
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGELA ATTRI, LLC 
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Dates
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    Enumeration Date     |    10/04/2024
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    Last Update Date     |    10/04/2024
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Provider Practice Location Address
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    Address Line         |    13243 SE 260TH LN 
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    City                 |    KENT
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    State                |    WA
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    Zip                  |    98042
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    Country              |    US
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    Telephone            |    206-659-1455
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    Fax                  |    206-635-3554
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Provider Business Mailing Address
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    Address Line         |    13036 SE KENT KANGLEY RD STE 238 
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    City                 |    KENT
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    State                |    WA
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    Zip                  |    98030-7965
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    Country              |    US
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    Telephone            |    206-659-1455
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    Fax                  |    206-635-3554
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANGELA  ATTRI 
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    Credential           |    LMHC, SUDP, ICGC-I
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    Telephone            |    206-659-1455
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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       |    
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    License Number State |    
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