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NPI 1902131220

NPI 1902131220 : DONNA COOMBS LMHC : BELLEVUE, WA

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General NPI Number Information
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    NPI Number           |    1902131220
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    Entity Type          |    Organization 
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    Legal Business Name  |    DONNA COOMBS LMHC 
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Dates
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    Enumeration Date     |    10/04/2009
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    Last Update Date     |    10/04/2009
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Provider Practice Location Address
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    Address Line         |    1400 112TH AVE SE STE 221 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98004-6901
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    Country              |    US
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    Telephone            |    425-462-5252
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1400 112TH AVE SE STE 221 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98004-6901
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. DONNA  COOMBS 
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    Credential           |    LMHC
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    Telephone            |    425-462-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    00003413
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    License Number State |    WA
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