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General NPI Number Information
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NPI Number | 1215132303
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Entity Type | Individual
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Provider Name | KENNETH JAY SEATON SR. M.S., LMHC, CSAT
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Gender | Male
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 3208 50TH STREET CT NW BLDG C, SUITE 100
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City | GIG HARBOR
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State | WA
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Zip | 98335-8590
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Country | US
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Telephone | 360-621-9286
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Fax |
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Provider Business Mailing Address
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Address Line | 14155 GLENWOOD RD SW
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City | PORT ORCHARD
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State | WA
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Zip | 98367-7769
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Country | US
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Telephone | 360-876-2765
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00004211
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License Number State | WA
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