{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "JENSA FERGUSON, LMHC, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "23830 78TH AVE W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EDMONDS",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98026-8821",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-473-7745",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5470 SHILSHOLE AVE NW STE 510",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEATTLE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98107-4040",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-619-7628",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/29/2022",
"LastUpdateDate": "01/29/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FERGUSON",
"AuthorizedOfficialFirstName": "JENIFER",
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"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "206-619-7628",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}