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General NPI Number Information
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NPI Number | 1669140216
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Entity Type | Individual
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Provider Name | BRIANNA MARIE WALSH
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 6990 EAST GREEN LAKE WAY N SUITE G
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City | SEATTLE
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State | WA
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Zip | 98115
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Country | US
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Telephone | 360-515-4865
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 10TH AVE W APT C4
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City | SEATTLE
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State | WA
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Zip | 98119-3402
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Country | US
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Telephone | 201-563-6683
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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 | LH61665925
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH61665925
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 23-297
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License Number State | WA
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