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General NPI Number Information
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NPI Number | 1487129979
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Entity Type | Organization
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Legal Business Name | JENNIFER CRESON COUNSELING, LLC
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 4219 SW JUNEAU ST
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City | SEATTLE
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State | WA
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Zip | 98136-1621
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Country | US
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Telephone | 206-841-1198
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Fax |
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Provider Business Mailing Address
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Address Line | 4219 SW JUNEAU ST
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City | SEATTLE
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State | WA
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Zip | 98136-1621
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Country | US
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Telephone | 206-841-1198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER CRESON
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Credential | LMHC
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Telephone | 206-841-1198
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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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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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