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General NPI Number Information
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NPI Number | 1770734683
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Entity Type | Individual
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Provider Name | GRETCHEN ESCOBAR LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1708 E 44TH ST
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City | TACOMA
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State | WA
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Zip | 98404-4611
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Country | US
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Telephone | 253-579-7487
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Fax | 253-722-2184
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Provider Business Mailing Address
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Address Line | 2127 BRIDGEPORT WAY W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4823
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Country | US
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Telephone | 253-282-6025
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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 | LH60735606
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License Number State | WA
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