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General NPI Number Information
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NPI Number | 1710772322
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Entity Type | Individual
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Provider Name | MAURA GRANDISON LMHCA
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Gender | Female
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 201 W NORTH RIVER DR STE 301
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City | SPOKANE
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State | WA
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Zip | 99201-2262
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Country | US
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Telephone | 509-903-0103
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Fax |
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Provider Business Mailing Address
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Address Line | C/O ART BEZALEEL STUDIO GALLERY 12824 E. NORA AVE, SUITE 203
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216
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Country | US
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Telephone | 509-425-7895
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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 | MC61674811
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License Number State | WA
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