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General NPI Number Information
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NPI Number | 1518280965
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Entity Type | Individual
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Provider Name | HOLSEY SATTERWHITE LICSW, LMHC
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 15 S. OREGON AVE SUITE 101
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City | TACOMA
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State | WA
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Zip | 98409-7431
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Country | US
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Telephone | 253-247-1317
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Fax |
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Provider Business Mailing Address
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Address Line | 31118 151ST AVE SE
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City | KENT
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State | WA
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Zip | 98042-5504
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Country | US
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Telephone | 253-247-1317
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH60354442
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60420848
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License Number State | WA
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