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General NPI Number Information
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NPI Number | 1285447748
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Entity Type | Organization
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Legal Business Name | ECLIPSE COUNSELING & WELLNESS PLLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 22207 NE 12TH PL
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City | SAMMAMISH
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State | WA
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Zip | 98074-6818
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Country | US
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Telephone | 425-221-1189
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Fax |
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Provider Business Mailing Address
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Address Line | 704 228TH AVE NE
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City | SAMMAMISH
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State | WA
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Zip | 98074-7222
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | ELIZABETH KEEN
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Credential | M.S., NCC, LMHC
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Telephone | 425-221-1189
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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 |
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License Number State |
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