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General NPI Number Information
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NPI Number | 1215756499
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Entity Type | Organization
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Legal Business Name | HGCM THERAPY PLLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 917 PACIFIC AVE STE 305
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City | TACOMA
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State | WA
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Zip | 98402-4434
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Country | US
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Telephone | 435-776-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 5729 LITTLEROCK RD. SW UNIT 107 BOX 151
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City | TUMWATER
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State | WA
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Zip | 98512
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Country | US
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Telephone | 435-776-5959
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Fax |
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Authorized Official
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Title or Position | THERAPIST-OWNER
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Name | MS. KATHRYN LORZ
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Credential | LMHC, NCC
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Telephone | 435-776-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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