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General NPI Number Information
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NPI Number | 1235633322
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Entity Type | Organization
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Legal Business Name | GOODNESS & GRIEF COUNSELING, PLLC
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 108 S JACKSON ST STE 203
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City | SEATTLE
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State | WA
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Zip | 98104-2883
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Country | US
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Telephone | 206-915-8694
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Fax |
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Provider Business Mailing Address
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Address Line | 108 S JACKSON ST STE 203
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City | SEATTLE
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State | WA
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Zip | 98104-2883
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Country | US
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Telephone | 206-915-8694
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/CEO
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Name | MRS. BETHANNE KINMONTH
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Credential | MA
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Telephone | 206-915-8694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 60502246
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License Number State | WA
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