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General NPI Number Information
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NPI Number | 1417358524
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Entity Type | Individual
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Provider Name | STEPHANIE GARNEAUX LPC, LCPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 5933 NE WIN SIVERS DR STE 238
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City | PORTLAND
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State | OR
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Zip | 97220-9093
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Country | US
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Telephone | 971-291-0579
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Fax | 503-506-0618
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Provider Business Mailing Address
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Address Line | 9030 35TH AVE SW STE 100
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City | SEATTLE
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State | WA
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Zip | 98126-3821
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Country | US
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Telephone | 971-291-0579
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Fax | 503-506-0618
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5234-R
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C5377
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C5377
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2561878
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License Number State | ID
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