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General NPI Number Information
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NPI Number | 1750686945
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Entity Type | Individual
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Provider Name | SARAH A COOMBS MA, LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 303 E 16TH ST # 205
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City | VANCOUVER
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State | WA
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Zip | 98663-3410
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Country | US
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Telephone | 971-258-2965
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Fax |
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Provider Business Mailing Address
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Address Line | 303 E 16TH ST # 205
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City | VANCOUVER
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State | WA
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Zip | 98663-3410
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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 | 7736
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License Number State | MA
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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 | C3679
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60749883
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C3679
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License Number State | OR
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