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General NPI Number Information
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NPI Number | 1457897498
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Entity Type | Individual
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Provider Name | TASHA L. HANSEN MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2017
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 100 E JACKSON AVE STE 301
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City | ELLENSBURG
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State | WA
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Zip | 98926-3692
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Country | US
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Telephone | 509-933-8777
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Fax | 509-933-8741
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Provider Business Mailing Address
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Address Line | PO BOX 133
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City | ELLENSBURG
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State | WA
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Zip | 98926-1910
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Country | US
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Telephone | 509-656-4517
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Fax |
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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 | CO61459897
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60738072
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LW60835798
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60835798
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | LW60835798
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW608835798
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License Number State | WA
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