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NPI 1588288658

NPI 1588288658 : SKYLAR O LENNON LMHC, SUDP : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1588288658
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    Entity Type          |    Individual 
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    Provider Name        |    SKYLAR O LENNON LMHC, SUDP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2020
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    Last Update Date     |    10/18/2025
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Provider Practice Location Address
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    Address Line         |    1942 WESTLAKE AVE APT 3111 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98101-1283
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    Country              |    US
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    Telephone            |    509-720-0439
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1942 WESTLAKE AVE APT 3111 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98101-1283
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    Country              |    US
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    Telephone            |    509-218-9810
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    CP61184413
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LH61513090
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    License Number State |    WA
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