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General NPI Number Information
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NPI Number | 1275343782
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Entity Type | Individual
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Provider Name | ASHLEY E MARTIN LMHCA
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Gender | Female
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 15811 AMBAUM BLVD SW STE 110
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City | BURIEN
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State | WA
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Zip | 98166-3071
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Country | US
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Telephone | 206-242-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 2607 32ND AVE W
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City | SEATTLE
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State | WA
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Zip | 98199-3221
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Country | US
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Telephone | 206-484-3213
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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 | 61590893
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License Number State | WA
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