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General NPI Number Information
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NPI Number | 1861333239
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Entity Type | Organization
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Legal Business Name | PINE TREE PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 8430 28TH ST NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-6497
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Country | US
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Telephone | 425-307-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 8430 28TH ST NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-6497
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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 | MENTAL HEALTH COUNSELOR
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Name | AGNIESZKA LINIEWIECKA-DZIWOK
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Credential | LMHC
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Telephone | 847-454-4219
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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 |
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License Number State |
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