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General NPI Number Information
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NPI Number | 1376969014
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Entity Type | Individual
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Provider Name | ERIN BRADRICK MA.,LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 6712 KIMBALL DR #103
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City | GIG HARBOR
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State | WA
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Zip | 98335-1212
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Country | US
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Telephone | 253-858-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 12323 NE 97TH ST APT A
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City | KIRKLAND
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State | WA
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Zip | 98033-5869
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Country | US
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Telephone | 253-682-7725
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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 | LH 60129963
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License Number State | WA
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