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General NPI Number Information
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NPI Number | 1548193345
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Entity Type | Organization
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Legal Business Name | DANIELLE H BRADSHAW, LICENSED PSYCHOTHERAPIST, PLLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 631 5TH ST
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City | MUKILTEO
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State | WA
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Zip | 98275-1581
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Country | US
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Telephone | 425-359-6895
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Fax |
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Provider Business Mailing Address
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Address Line | 4711 NORTHPORT DR
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City | MUKILTEO
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State | WA
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Zip | 98275-6014
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Country | US
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Telephone | 425-359-6895
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DANIELLE H BRADSHAW
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Credential | MHP, LMHC, LCPC
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Telephone | 425-359-6895
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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 |
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License Number State |
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