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NPI 1427594621

NPI 1427594621 : JARED R. HELLINGS, PSYD, PLLC : EDMONDS, WA

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General NPI Number Information
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    NPI Number           |    1427594621
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    Entity Type          |    Organization 
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    Legal Business Name  |    JARED R. HELLINGS, PSYD, PLLC 
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Dates
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    Enumeration Date     |    01/11/2017
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    Last Update Date     |    01/11/2017
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Provider Practice Location Address
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    Address Line         |    144 RAILROAD AVE 202
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    City                 |    EDMONDS
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    State                |    WA
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    Zip                  |    98020-7207
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    Country              |    US
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    Telephone            |    425-686-8413
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    Fax                  |    888-976-5817
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Provider Business Mailing Address
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    Address Line         |    144 RAILROAD AVE 202
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    City                 |    EDMONDS
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    State                |    WA
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    Zip                  |    98020-7207
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    Country              |    US
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    Telephone            |    425-686-8413
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    Fax                  |    888-976-5817
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Authorized Official
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    Title or Position    |    PSYCHOLOGIST/MEMBER
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    Name                 |    DR. JARED  HELLINGS 
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    Credential           |    PSYD
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    Telephone            |    425-686-8413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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       |    PY60068969
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    License Number State |    WA
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