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General NPI Number Information
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NPI Number | 1376295246
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Entity Type | Individual
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Provider Name | ANNE WARD VANRODEN MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 1818 WESTLAKE AVE N STE 312
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City | SEATTLE
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State | WA
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Zip | 98109-2707
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Country | US
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Telephone | 206-352-7797
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 QUEEN ANNE AVE N # 822
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City | SEATTLE
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State | WA
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Zip | 98109-2383
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Country | US
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Telephone | 206-352-7797
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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 | LF60012954
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License Number State | WA
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