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General NPI Number Information
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NPI Number | 1427206705
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH PROFESSIONALS, LLC
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 2136 OLYMPIC HWY N
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City | SHELTON
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State | WA
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Zip | 98584-2953
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Country | US
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Telephone | 360-462-3320
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Fax | 360-930-6887
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Provider Business Mailing Address
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Address Line | PO BOX 366
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City | HOODSPORT
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State | WA
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Zip | 98548-0366
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Country | US
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Telephone | 360-462-3320
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Fax | 360-930-6887
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Authorized Official
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Title or Position | LMHC
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Name | DR. ADRIAN RONALD MAGNUSON-WHYTE
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Credential | LMHC
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Telephone | 360-462-3320
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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 | LH00009082
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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