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General NPI Number Information
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NPI Number | 1477421634
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Entity Type | Organization
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Legal Business Name | RAVEN'S NEST THERAPY COLLECTIVE PLLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3805 133RD STREET CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8880
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Country | US
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Telephone | 215-485-6977
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 133RD STREET CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8880
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALISON DRAISIN
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Credential | PSYD, LMHC
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Telephone | 215-485-6977
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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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