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General NPI Number Information
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NPI Number | 1346042884
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Entity Type | Individual
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Provider Name | NATASHA MOONKA LMHCA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1512 12TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-3554
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Country | US
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Telephone | 512-256-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 108 S JACKSON ST
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City | SEATTLE
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State | WA
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Zip | 98104-3802
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Country | US
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Telephone | 512-256-1131
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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 | MC61548832
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License Number State | WA
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