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1891194551 NPI number — ANDREW NAZARIAN MS, CDP, MHP, NCAC I

NPI Number: 1891194551
Health Care Provider/Practitioner: ANDREW NAZARIAN MS, CDP, MHP, NCAC I

Information about “1891194551” NPI (ANDREW NAZARIAN MS, CDP, MHP, NCAC I) exists in 1891194551 in HTML format HTML  |  1891194551 in plain Text format TXT  |  1891194551 in PDF (Portable Document Format) PDF  |  1891194551 in an XML format XML  formats.

NPI Number : 1891194551 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891194551",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NAZARIAN",
    "FirstName": "ANDREW",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, CDP, MHP, NCAC I",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NAZARIAN",
    "OtherFirstName": "DREW",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1600 E OLIVE ST",
    "SecondLineMailingAddress": "SOUND MENTAL HEALTH",
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98122-2735",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-302-2200",
    "MailingAddressFaxNumber": "206-302-2210",
    "FirstLinePracticeLocationAddress": "1600 E OLIVE ST",
    "SecondLinePracticeLocationAddress": "SOUND MENTAL HEALTH",
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98122-2735",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-302-2200",
    "PracticeLocationAddressFaxNumber": "206-302-2210",
    "EnumerationDate": "08/19/2014",
    "LastUpdateDate": "12/01/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CP60524737",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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