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General NPI Number Information
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NPI Number | 1497487664
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Entity Type | Individual
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Provider Name | CLAIRE ELIZABETH WILSON MA, LMHCA
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Gender | Female
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 110 N 75TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-4602
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Country | US
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Telephone | 206-755-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 7511 GREENWOOD AVE N # 819
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City | SEATTLE
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State | WA
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Zip | 98103-4627
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Country | US
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Telephone | 206-755-7766
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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 | MC61418471
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License Number State | WA
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