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General NPI Number Information
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NPI Number | 1659040368
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Entity Type | Individual
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Provider Name | DANIEL RICHARD ROBERSON LMHC
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Gender | Male
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 135 N OLYMPIC AVE
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City | ARLINGTON
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State | WA
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Zip | 98223-1335
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Country | US
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Telephone | 360-230-8482
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Fax | 425-548-1734
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Provider Business Mailing Address
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Address Line | 15619 16TH AVE NW
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City | MARYSVILLE
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State | WA
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Zip | 98271-8197
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Country | US
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Telephone | 303-902-0833
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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 | LH61526870
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO61146876
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License Number State | WA
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