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General NPI Number Information
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NPI Number | 1902463813
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Entity Type | Individual
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Provider Name | AUGUST JENSEN MA, LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/27/2019
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 410 E JEWETT BLVD STE C
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City | WHITE SALMON
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State | WA
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Zip | 98672-3012
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Country | US
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Telephone | 541-716-1520
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Fax |
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Provider Business Mailing Address
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Address Line | 721 SUNNYSIDE RD
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City | TROUT LAKE
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State | WA
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Zip | 98650-9711
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Country | US
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Telephone | 541-716-1520
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH61225574
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License Number State | WA
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