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General NPI Number Information
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NPI Number | 1629809363
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Entity Type | Individual
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Provider Name | JIAYING QI LMHCA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2024
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1107 NE 45TH ST STE 502
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City | SEATTLE
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State | WA
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Zip | 98105-4631
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Country | US
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Telephone | 206-785-1953
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Fax |
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Provider Business Mailing Address
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Address Line | 17990 MIDVALE AVE N
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City | SHORELINE
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State | WA
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Zip | 98133-4900
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Country | US
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Telephone |
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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 | MC61575047
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License Number State | WA
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