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NPI 1538012562

NPI 1538012562 : STEPHANIE SHUNK LMFTA : YELM, WA

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General NPI Number Information
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    NPI Number           |    1538012562
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE SHUNK LMFTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/18/2026
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    Last Update Date     |    02/18/2026
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Provider Practice Location Address
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    Address Line         |    313 YELM AVE W 
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    City                 |    YELM
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    State                |    WA
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    Zip                  |    98597-8036
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    Country              |    US
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    Telephone            |    360-480-9752
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    Fax                  |    360-925-3490
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Provider Business Mailing Address
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    Address Line         |    8101 83RD AVE SW APT J8 
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    City                 |    LAKEWOOD
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    State                |    WA
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    Zip                  |    98498-6043
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    Country              |    US
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    Telephone            |    360-480-9752
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    Fax                  |    360-925-3490
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MG70082996
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    License Number State |    WA
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