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General NPI Number Information
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NPI Number | 1821231770
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Entity Type | Individual
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Provider Name | ERIN RW REYBURN LPC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 8507 S 115TH ST
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City | SEATTLE
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State | WA
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Zip | 98178-3928
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Country | US
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Telephone | 206-794-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 6647 SE MILWAUKIE AVE STE B210
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City | PORTLAND
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State | OR
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Zip | 97202-5661
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Country | US
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Telephone | 206-714-5610
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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 | C7444
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License Number State | OR
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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 | LH60018016
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License Number State | WA
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