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NPI 1740863406

NPI 1740863406 : MIKAELA SERAFIN MDIV, MA, LMHCA : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1740863406
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    Entity Type          |    Individual 
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    Provider Name        |    MIKAELA SERAFIN MDIV, MA, LMHCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/30/2021
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    2800 1ST AVE STE 307 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98121-1114
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    Country              |    US
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    Telephone            |    707-925-2309
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2120 1ST AVE N # 301 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98109-2301
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    Country              |    US
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    Telephone            |    707-925-2309
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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       |    61160540
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    License Number State |    WA
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