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General NPI Number Information
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NPI Number | 1326270521
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Entity Type | Individual
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Provider Name | HEIDI LUCINDA DAWN MARSOLEK MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 610 N STEELE ST
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City | TACOMA
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State | WA
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Zip | 98406-7714
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Country | US
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Telephone | 425-870-2198
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Fax |
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Provider Business Mailing Address
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Address Line | 808 N I ST
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City | TACOMA
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State | WA
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Zip | 98403-2014
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Country | US
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Telephone | 425-293-3161
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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