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General NPI Number Information
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NPI Number | 1740358407
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Entity Type | Individual
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Provider Name | CATHERINE MARGARET HEATH
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 3272 CALIFORNIA AVE SW STE 105
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City | SEATTLE
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State | WA
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Zip | 98116-3375
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Country | US
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Telephone | 206-650-2178
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Fax | 206-762-4838
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Provider Business Mailing Address
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Address Line | 3272 CALIFORNIA AVE SW STE 105 P.O. BOX 47342 SEATTLE, WA. 98146
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City | SEATTLE
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State | WA
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Zip | 98116
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Country | US
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Telephone | 206-650-2178
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Fax | 206-762-4838
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00002522
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License Number State | WA
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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 | LH 60160392
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License Number State | WA
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