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General NPI Number Information
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NPI Number | 1396048419
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Entity Type | Individual
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Provider Name | JULIE MARIE FREYBERG M.ED, LMHP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 9500 ROOSEVELT WAY NE #206
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City | SEATTLE
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State | WA
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Zip | 98115-2252
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Country | US
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Telephone | 206-784-0926
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Fax |
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Provider Business Mailing Address
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Address Line | 115 NW 79TH ST
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City | SEATTLE
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State | WA
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Zip | 98117-3022
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Country | US
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Telephone | 206-784-0926
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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 | LH60161086
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License Number State | WA
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