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1659163020 NPI number — MAYSUN JACQUELYN VALENTINE LMHCA

NPI Number: 1659163020
Health Care Provider/Practitioner: MAYSUN JACQUELYN VALENTINE LMHCA

Information about “1659163020” NPI (MAYSUN JACQUELYN VALENTINE LMHCA) exists in 1659163020 in HTML format HTML  |  1659163020 in plain Text format TXT  |  1659163020 in PDF (Portable Document Format) PDF  |  1659163020 in an XML format XML  formats.

NPI Number : 1659163020 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659163020",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALENTINE",
    "FirstName": "MAYSUN",
    "MiddleName": "JACQUELYN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMHCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VALENTINE",
    "OtherFirstName": "M",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMHCA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1250 S PUGET DR APT H217",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98055-4432",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-209-7144",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15811 AMBAUM BLVD SW STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURIEN",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98166-3071",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-242-8211",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/20/2025",
    "LastUpdateDate": "05/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MHCA.MC.61678538",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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