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General NPI Number Information
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NPI Number | 1336076249
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Entity Type | Organization
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Legal Business Name | TERRY BASOLO & ASSOCIATES, PSYCHOTHERAPY
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 180 HARBOR SQ LOOP NE UNIT B422
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-3423
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Country | US
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Telephone | 206-450-6223
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Fax |
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Provider Business Mailing Address
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Address Line | 8202 NE STATE HIGHWAY 104 STE 102-246
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City | KINGSTON
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State | WA
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Zip | 98346-9454
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Country | US
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Telephone | 206-450-6223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERRY BASOLO
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Credential | LMHC
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Telephone | 206-450-6223
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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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