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General NPI Number Information
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NPI Number | 1851166680
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Entity Type | Individual
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Provider Name | HANNA M REISDORFF LMHCA, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1601 E COLLEGE WAY
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City | MOUNT VERNON
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State | WA
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Zip | 98273-5612
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Country | US
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Telephone | 360-763-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 OPAL LN
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City | BURLINGTON
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State | WA
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Zip | 98233-3047
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Country | US
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Telephone | 813-368-8248
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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 | MC7000014
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License Number State | WA
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