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General NPI Number Information
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NPI Number | 1538375027
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Entity Type | Individual
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Provider Name | CHRISTINA MARY RYAN M.S.LMHC, LMFT, LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 8127 149TH PL NE UNIT D321
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City | REDMOND
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State | WA
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Zip | 98052-6597
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Country | US
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Telephone | 646-541-5327
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Fax |
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Provider Business Mailing Address
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Address Line | 8127 149TH PL NE UNIT D321
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City | REDMOND
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State | WA
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Zip | 98052-6597
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Country | US
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Telephone | 646-541-5327
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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 | MHC.LH.60116989
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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 | 34002420A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35000130A
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License Number State | IN
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