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1215082714 NPI number — LEE W WEGENKE SALKIN LMHC, CDP

NPI Number: 1215082714
Health Care Provider/Practitioner: LEE W WEGENKE SALKIN LMHC, CDP

Information about “1215082714” NPI (LEE W WEGENKE SALKIN LMHC, CDP) exists in 1215082714 in HTML format HTML  |  1215082714 in plain Text format TXT  |  1215082714 in PDF (Portable Document Format) PDF  |  1215082714 in an XML format XML  formats.

NPI Number : 1215082714 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215082714",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEGENKE SALKIN",
    "FirstName": "LEE",
    "MiddleName": "W",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMHC, CDP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 965",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEAD",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99021-0965",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-299-0945",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "521 N ARGONNE RD",
    "SecondLinePracticeLocationAddress": "BLDG. B, SUITE 105",
    "PracticeLocationAddressCityName": "SPOKANE VALLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99212-2868",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-299-0945",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/24/2007",
    "LastUpdateDate": "05/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "60289923",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "60289917",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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