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General NPI Number Information
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NPI Number | 1881746451
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Entity Type | Individual
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Provider Name | STEFFIE GENEVIEVE MSW, LICSW, CDP, SAP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 1005 N PINES RD SUITE 40
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-4986
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Country | US
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Telephone | 509-850-5991
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Fax | 206-892-9709
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Provider Business Mailing Address
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Address Line | 506 N SULLIVAN RD STE F170
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-8543
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Country | US
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Telephone | 509-850-5991
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Fax | 206-892-9709
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00003245
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LW00006488
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License Number State | WA
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