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NPI 1841887213

NPI 1841887213 : TAMMERA ROSS LMHCA : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1841887213
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    Entity Type          |    Individual 
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    Provider Name        |    TAMMERA ROSS LMHCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/30/2020
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    1448 NW MARKET ST STE 210 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98107-3743
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    Country              |    US
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    Telephone            |    206-910-9476
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10652 LAKE MONTAUK DR 
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    City                 |    RIVERVIEW
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    State                |    FL
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    Zip                  |    33578-9511
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    Country              |    US
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    Telephone            |    386-566-5001
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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       |    IMH11179
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    License Number State |    FL
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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       |    MC61347768
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    License Number State |    WA
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