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General NPI Number Information
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NPI Number | 1881894798
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Entity Type | Individual
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Provider Name | ADRIAN RONALD MAGNUSON-WHYTE LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 1620 OLYMPIC HWY N MENTAL HEALTH PROFESSIONALS, LLC
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City | SHELTON
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State | WA
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Zip | 98584-3052
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Country | US
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Telephone | 360-462-3320
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Fax | 360-930-6887
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Provider Business Mailing Address
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Address Line | PO BOX 366 MENTAL HEALTH PROFESSIONALS, LLC
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City | HOODSPORT
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State | WA
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Zip | 98548-0366
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Country | US
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Telephone | 360-462-3320
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Fax | 360-930-6887
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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 | LH00009082
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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 | LH000090982
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License Number State | WA
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