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General NPI Number Information
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NPI Number | 1396560140
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Entity Type | Organization
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Legal Business Name | WINTER SAGE COUNSELING, PLLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 8201 164TH AVE NE STE 8201164
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City | REDMOND
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State | WA
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Zip | 98052-7604
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Country | US
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Telephone | 206-601-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 22014 4TH PL W
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City | BOTHELL
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State | WA
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Zip | 98021-8156
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Country | US
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Telephone | 206-601-4223
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. BARBARA MARIE WINTER
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Credential | LMHC
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Telephone | 206-601-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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