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General NPI Number Information
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NPI Number | 1881464873
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Entity Type | Individual
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Provider Name | RAINY BROMS MS, LMHCA
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1404 NE 134TH ST
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City | VANCOUVER
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State | WA
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Zip | 98685-2799
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Country | US
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Telephone | 360-991-2440
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Fax | 360-845-2752
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Provider Business Mailing Address
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Address Line | 6715 NE 63RD ST STE 103-408
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City | VANCOUVER
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State | WA
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Zip | 98661-1980
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Country | US
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Telephone | 760-683-4383
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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 |
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License Number State |
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