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General NPI Number Information
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NPI Number | 1588944417
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Entity Type | Individual
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Provider Name | SARAH LAUREN ECKSTEIN PH.D., M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 701 NE 136TH AVE STE 200
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City | VANCOUVER
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State | WA
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Zip | 98684-6937
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Country | US
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Telephone | 503-893-9889
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Fax | 503-386-2645
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Provider Business Mailing Address
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Address Line | 701 NE 136TH AVE STE 200
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City | VANCOUVER
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State | WA
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Zip | 98684-6937
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Country | US
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Telephone | 503-893-9889
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Fax | 503-386-2645
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3086
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY61296860
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License Number State | WA
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