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General NPI Number Information
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NPI Number | 1538328042
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Entity Type | Individual
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Provider Name | CARLA S PEREIRA MA, LMHCA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 33305 1ST WAY S STE B212
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City | FEDERAL WAY
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State | WA
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Zip | 98003-4554
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Country | US
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Telephone | 253-344-1840
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Fax | 253-344-1959
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Provider Business Mailing Address
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Address Line | 33305 1ST WAY S SUITE#B-203
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6235
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Country | US
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Telephone | 253-235-5956
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Fax | 253-235-5957
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 60159583
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License Number State | WA
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