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NPI 1740628932

NPI 1740628932 : TABITHA MICHELE-MARIE STOKES LMHC, SUDP, LSWAIC : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1740628932
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    Entity Type          |    Individual 
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    Provider Name        |    TABITHA MICHELE-MARIE STOKES LMHC, SUDP, LSWAIC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2013
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    2901 FALK RD 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98661-6392
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    Country              |    US
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    Telephone            |    360-931-3239
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5515 NE 101ST CIR 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98686-6070
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    Country              |    US
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    Telephone            |    
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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       |    LH61487883
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    CO60247587
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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       |    SC61486241
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    License Number State |    WA
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