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General NPI Number Information
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NPI Number | 1730633728
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Entity Type | Individual
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Provider Name | CRYSTAL GRAY MCGREGOR LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 17633 167TH AVE NE
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City | WOODINVILLE
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State | WA
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Zip | 98072-9609
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Country | US
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Telephone | 206-274-8758
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Fax | 206-703-2205
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Provider Business Mailing Address
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Address Line | 17610 WOODINVILLE SNOHOMISH RD NE UNIT 2402
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City | WOODINVILLE
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State | WA
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Zip | 98072-0129
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Country | US
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Telephone | 206-274-8758
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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 | 61074241
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License Number State | WA
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