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General NPI Number Information
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NPI Number | 1861368912
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Entity Type | Individual
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Provider Name | ANNE KRISTINA DWYER LMHCA
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 130 NICKERSON ST STE 305
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City | SEATTLE
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State | WA
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Zip | 98109-1658
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Country | US
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Telephone | 206-681-7586
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 17TH AVE APT 201
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City | SEATTLE
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State | WA
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Zip | 98122-4652
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Country | US
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Telephone | 206-919-3767
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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 | MHCA.MC.70024633
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License Number State | WA
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