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General NPI Number Information
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NPI Number | 1275804783
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Entity Type | Individual
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Provider Name | JARRED LATHROP-WEBER LMHCA, MHP
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Gender | Male
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 9001 46TH AVE S UNIT B
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City | SEATTLE
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State | WA
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Zip | 98118-5001
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Country | US
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Telephone | 253-906-8738
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 E MADISON ST STE 101
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City | SEATTLE
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State | WA
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Zip | 98122-2876
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Country | US
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Telephone | 253-906-8738
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | MC60166564
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License Number State | WA
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