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General NPI Number Information
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NPI Number | 1285002428
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Entity Type | Individual
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Provider Name | GEOFFRY SCOTT ARCHER LICSW, SUDP
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Gender | Male
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-277-6008
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Fax | 206-764-2192
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Provider Business Mailing Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-277-6008
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Fax | 206-764-2192
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60781841
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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 | CG60627295
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61677859
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License Number State | WA
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