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General NPI Number Information
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NPI Number | 1548745136
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Entity Type | Organization
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Legal Business Name | GOLDEN WEST COUNSELING
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 1904 3RD AVE STE 229
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City | SEATTLE
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State | WA
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Zip | 98101-1194
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Country | US
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Telephone | 206-257-3810
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Fax |
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Provider Business Mailing Address
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Address Line | 15604 18TH AVE SW
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City | BURIEN
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State | WA
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Zip | 98166-2702
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Country | US
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Telephone | 206-257-3810
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH COUNSELOR
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Name | MRS. VERONICA MICHELLE ANDERSON
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Credential | MA, LMHC
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Telephone | 206-257-3810
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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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