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General NPI Number Information
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NPI Number | 1326448978
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Entity Type | Individual
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Provider Name | DEBORAH ANN NIELSON LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 1940 DEVILLE DR NW
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City | BREMERTON
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State | WA
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Zip | 98312-1713
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Country | US
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Telephone | 360-550-4117
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Fax | 360-625-6713
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Provider Business Mailing Address
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Address Line | 2916 NW BUCKLIN HILL RD # 125
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City | SILVERDALE
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State | WA
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Zip | 98383-8514
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Country | US
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Telephone | 360-550-4117
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Fax | 360-625-6713
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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 | LH60689490
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License Number State | WA
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