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General NPI Number Information
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NPI Number | 1447112917
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Entity Type | Organization
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Legal Business Name | BEZZIO COUNSELING, PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 60 FERNRIDGE LN
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City | PORT LUDLOW
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State | WA
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Zip | 98365-9546
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Country | US
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Telephone | 206-999-6156
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Fax | 206-999-6156
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Provider Business Mailing Address
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Address Line | 60 FERNRIDGE LN
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City | PORT LUDLOW
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State | WA
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Zip | 98365-9546
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Country | US
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Telephone | 509-826-6191
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | RANDALL KENT BEZZIO
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Credential | MA, LMHC
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Telephone | 206-999-6156
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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 |
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License Number State |
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