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General NPI Number Information
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NPI Number | 1215817085
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Entity Type | Individual
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Provider Name | KATHLEEN VIRGIE O'MALEY
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Gender | Female
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 613 SUPERIOR LN
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City | YAKIMA
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State | WA
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Zip | 98902-1623
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Country | US
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Telephone | 509-575-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 SAAZ LN
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City | SUNNYSIDE
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State | WA
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Zip | 98944-8946
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Country | US
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Telephone | 509-870-0419
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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 | CAAR.CG.70045710
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License Number State | WA
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