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General NPI Number Information
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NPI Number | 1265684930
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Entity Type | Individual
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Provider Name | TERI L WOOD M.A., LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 12040 98TH AVE NE # 204B
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City | KIRKLAND
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State | WA
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Zip | 98034-4290
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Country | US
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Telephone | 206-755-0672
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Fax | 206-589-1995
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Provider Business Mailing Address
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Address Line | 11410 NE 124TH ST # 459
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City | KIRKLAND
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State | WA
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Zip | 98034-4305
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Country | US
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Telephone | 206-755-0672
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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 | LH60463861
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License Number State | WA
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