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General NPI Number Information
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NPI Number | 1497301071
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Entity Type | Individual
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Provider Name | ANDREA CAROLINE SKERRY MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2019
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 1380 112TH AVE NE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98004-3759
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Country | US
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Telephone | 425-301-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 140TH AVE NE APT 21
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City | BELLEVUE
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State | WA
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Zip | 98005-1801
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Country | US
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Telephone | 206-617-0481
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 60947948
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61429351
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License Number State | WA
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