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General NPI Number Information
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NPI Number | 1356565717
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Entity Type | Individual
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Provider Name | MICHAEL RAITT MA, LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 701 17TH AVE APT 404
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City | SEATTLE
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State | WA
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Zip | 98122-4667
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Country | US
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Telephone | 206-325-4113
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 MINOR AVENUE, SUITE 1140
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-325-4113
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Fax | 206-325-1431
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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 | LH00010943
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License Number State | WA
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