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1477095859 NPI number — ROSE CATRIONA MALCOLM LMHC

NPI Number: 1477095859
Health Care Provider/Practitioner: ROSE CATRIONA MALCOLM LMHC

Information about “1477095859” NPI (ROSE CATRIONA MALCOLM LMHC) exists in 1477095859 in HTML format HTML  |  1477095859 in plain Text format TXT  |  1477095859 in PDF (Portable Document Format) PDF  |  1477095859 in an XML format XML  formats.

NPI Number : 1477095859 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477095859",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALCOLM",
    "FirstName": "ROSE",
    "MiddleName": "CATRIONA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1420 S MERIDIAN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PUYALLUP",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98371-6914",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-407-3995",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1420 S MERIDIAN STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PUYALLUP",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98371-6914",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-407-3995",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/16/2016",
    "LastUpdateDate": "03/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "LH61163164",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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