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General NPI Number Information
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NPI Number | 1356191951
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Entity Type | Individual
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Provider Name | CASSANDRA RODRIGUEZ LMHCA
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Gender | Female
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 100 N HOWARD ST STE W
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 425-230-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 N EL MIRAGE DR APT 217
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City | AVONDALE
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State | AZ
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Zip | 85392-3845
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Country | US
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Telephone | 623-256-7703
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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 | MC61503762
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License Number State | WA
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