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General NPI Number Information
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NPI Number | 1821511650
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Entity Type | Individual
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Provider Name | KEVIN KLEVJER MA, LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 3250 AIRPORT WAY S STE 406
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City | SEATTLE
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State | WA
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Zip | 98134-2173
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Country | US
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Telephone | 971-232-1395
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 E OLIVE ST
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City | SEATTLE
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State | WA
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Zip | 98122-2735
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61250582
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License Number State | WA
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