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General NPI Number Information
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NPI Number | 1619827391
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Entity Type | Organization
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Legal Business Name | UMBRELLA COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 521 19TH AVE SW
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City | PUYALLUP
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State | WA
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Zip | 98371-7465
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Country | US
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Telephone | 253-286-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 521 19TH AVE SW
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City | PUYALLUP
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State | WA
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Zip | 98371-7465
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Country | US
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Telephone | 253-286-8255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GERALYN E PETERSON
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Credential | LMHC
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Telephone | 253-988-1473
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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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