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General NPI Number Information
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NPI Number | 1831998350
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Entity Type | Organization
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Legal Business Name | METTA COUNSELLING AND WELLNESS PLLC
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 204 CUSTER WAY SW STE 107
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City | TUMWATER
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State | WA
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Zip | 98501-3330
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Country | US
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Telephone | 360-349-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 10TH AVE SW
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City | OLYMPIA
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State | WA
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Zip | 98502-5879
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Country | US
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Telephone | 360-349-9000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MITHILA PATHARE
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Credential |
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Telephone | 360-349-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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