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General NPI Number Information
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NPI Number | 1619869955
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Entity Type | Individual
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Provider Name | CHELSEA GALLEGOS LSWAIC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3013 S MOUNT BAKER BLVD
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City | SEATTLE
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State | WA
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Zip | 98144-6139
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Country | US
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Telephone | 206-313-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 5114 S CRESTON ST
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City | SEATTLE
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State | WA
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Zip | 98178-2110
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Country | US
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Telephone | 206-313-2686
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SC61226104
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License Number State | WA
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