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General NPI Number Information
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NPI Number | 1659574093
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Entity Type | Individual
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Provider Name | STEVE ANDERSON MC, CDP, LMHC
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2105 112TH AVE NE BELLEVUE OFFICE PARK SUITE 200
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City | BELLEVUE
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State | WA
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Zip | 98004-2945
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Country | US
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Telephone | 425-761-9050
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Fax | 425-917-8113
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Provider Business Mailing Address
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Address Line | 17002 138TH PL SE
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City | RENTON
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State | WA
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Zip | 98058-7001
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Country | US
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Telephone | 425-761-9050
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Fax | 425-917-8113
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00005764
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00008034
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License Number State | WA
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