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General NPI Number Information
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NPI Number | 1487096178
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Entity Type | Individual
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Provider Name | KRISTOFFER JOHN ALMAZAN ROUSE PHD, MA, LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1700 NW GILMAN BLVD STE 205
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City | ISSAQUAH
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State | WA
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Zip | 98027-5364
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Country | US
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Telephone | 206-496-6109
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Fax | 425-295-7637
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Provider Business Mailing Address
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Address Line | 1700 NW GILMAN BLVD STE 205
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City | ISSAQUAH
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State | WA
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Zip | 98027-5364
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Country | US
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Telephone | 206-496-6109
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Fax | 425-295-7637
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60560653
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License Number State | WA
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