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NPI 1659757185

NPI 1659757185 : SASHA TANI STEL-FERGUSON MA : ELLENSBURG, WA

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General NPI Number Information
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    NPI Number           |    1659757185
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    Entity Type          |    Individual 
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    Provider Name        |    SASHA TANI STEL-FERGUSON MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/06/2015
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    Last Update Date     |    08/15/2025
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Provider Practice Location Address
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    Address Line         |    521 E MOUNTAIN VIEW AVE 
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    City                 |    ELLENSBURG
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    State                |    WA
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    Zip                  |    98926-3865
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    Country              |    US
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    Telephone            |    509-962-1414
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    Fax                  |    509-452-5224
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Provider Business Mailing Address
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    Address Line         |    501 S 5TH AVE 
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    City                 |    YAKIMA
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    State                |    WA
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    Zip                  |    98902-3550
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    Country              |    US
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    Telephone            |    509-853-1082
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    Fax                  |    509-573-6275
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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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       |    MHCA.MC.70008400
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    License Number State |    WA
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