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NPI 1790668150

NPI 1790668150 : MEGHAN R. FITZGERALD PHD, PLLC : PORT ANGELES, WA

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General NPI Number Information
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    NPI Number           |    1790668150
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEGHAN R. FITZGERALD PHD, PLLC 
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Dates
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    Enumeration Date     |    07/30/2025
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    228 E LAURIDSEN BLVD 
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    City                 |    PORT ANGELES
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    State                |    WA
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    Zip                  |    98362-7821
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    Country              |    US
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    Telephone            |    360-200-8744
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    228 E LAURIDSEN BLVD 
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    City                 |    PORT ANGELES
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    State                |    WA
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    Zip                  |    98362-7821
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    Country              |    US
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    Telephone            |    360-200-8744
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LEAD THERAPIST
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    Name                 |    DR. MEGHAN R. FITZGERALD 
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    Credential           |    LMHC
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    Telephone            |    360-200-8744
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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       |    
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    License Number State |    
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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       |    
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    License Number State |    
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