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General NPI Number Information
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NPI Number | 1801312061
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Entity Type | Individual
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Provider Name | EMMA SINCLAIR JENNINGS LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2017
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Last Update Date | 11/07/2021
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Provider Practice Location Address
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Address Line | 2100 24TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-4637
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Country | US
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Telephone | 360-903-2876
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 SE 104TH CT
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City | VANCOUVER
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State | WA
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Zip | 98664-4777
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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 | 101Y00000X
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Taxonomy Name | 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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61214228
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License Number State | WA
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