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General NPI Number Information
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NPI Number | 1720337579
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Entity Type | Individual
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Provider Name | JOHN SEATON WHITE LICSW, CMHS
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Gender | Male
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2027 196TH ST SW STE A205
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City | LYNNWOOD
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State | WA
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Zip | 98036-7073
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Country | US
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Telephone | 360-553-1548
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Fax | 206-899-1951
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Provider Business Mailing Address
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Address Line | 6702 N 89TH LOOP
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City | CAMAS
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State | WA
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Zip | 98607-6753
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Country | US
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Telephone | 425-785-7566
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Fax | 206-899-1951
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CG60185704
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60754230
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC60549720
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CG60185704
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License Number State | WA
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