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General NPI Number Information
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NPI Number | 1265905368
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Entity Type | Individual
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Provider Name | NATALIE ANN HULTMAN AGENCY AFFILIATED CO
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2700 SIMPSON AVE STE 101
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City | ABERDEEN
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State | WA
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Zip | 98520
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Country | US
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Telephone | 360-612-0012
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Fax | 360-532-0670
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Provider Business Mailing Address
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Address Line | COLUMBIA WELLNESS PO BOX 1847
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City | LONGVIEW
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State | WA
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Zip | 98632
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Country | US
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Telephone | 360-353-9369
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Fax | 360-577-0187
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | CG50501871
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CAAR.CG.60602982
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO61046812
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CG60602982
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License Number State | WA
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