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General NPI Number Information
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NPI Number | 1346652039
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Entity Type | Individual
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Provider Name | KATHLEEN STEWARDSON LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 2111 N NORTHGATE WAY STE 101
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City | SEATTLE
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State | WA
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Zip | 98133-9018
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Country | US
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Telephone | 360-969-6409
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Fax |
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Provider Business Mailing Address
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Address Line | 1724 104TH PL SW
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City | EVERETT
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State | WA
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Zip | 98204-3666
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Country | US
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Telephone | 360-969-6409
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO60938627
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60308235
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License Number State | WA
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