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General NPI Number Information
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NPI Number | 1851943997
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Entity Type | Individual
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Provider Name | JENNIFER LYNN DULA LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-966-6510
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Fax |
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Provider Business Mailing Address
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Address Line | 8011 OAKBROOK LN SW
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City | LAKEWOOD
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State | WA
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Zip | 98498-6244
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Country | US
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Telephone | 803-767-2202
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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 | C011970
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License Number State | NC
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