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General NPI Number Information
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NPI Number | 1467610444
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Entity Type | Individual
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Provider Name | KARINA L. RAY MA, LMHC, CDP, CMHS
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 401 OLYMPIA AVE NE SUITE 206
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City | RENTON
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State | WA
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Zip | 98056-4117
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Country | US
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Telephone | 206-228-0126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1642
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City | RENTON
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State | WA
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Zip | 98057-1642
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Country | US
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Telephone | 206-228-9126
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH 00009984
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License Number State | WA
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