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General NPI Number Information
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NPI Number | 1629353040
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Entity Type | Individual
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Provider Name | STEPHENIE K HANSEN-DEL RIO LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 1412 SW 43RD ST STE 240
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City | RENTON
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State | WA
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Zip | 98057-4803
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Country | US
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Telephone | 206-226-0862
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Fax | 425-272-2717
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Provider Business Mailing Address
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Address Line | 1412 SW 43RD ST SUITE 111
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City | RENTON
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State | WA
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Zip | 98057-4803
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Country | US
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Telephone | 206-229-5025
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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 | LH60476181
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License Number State | WA
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