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General NPI Number Information
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NPI Number | 1821314394
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Entity Type | Individual
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Provider Name | PAULA JUNE JENSEN M.S., LMHCA
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Gender | Female
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 7981 168TH AVE NE SUITE 224
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City | REDMOND
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State | WA
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Zip | 98052
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Country | US
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Telephone | 425-522-3187
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Fax | 206-329-8219
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Provider Business Mailing Address
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Address Line | 17512 83RD PL. NE APT D206
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City | KENMORE
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State | WA
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Zip | 98028
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Country | US
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Telephone | 360-259-7608
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Fax | 509-359-6953
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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 | MC60338125
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License Number State | WA
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