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General NPI Number Information
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NPI Number | 1902763857
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Entity Type | Individual
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Provider Name | NATHALIE DIDOMENICO LMHCA
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2110 NORTHLAKE AVE
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City | SNOHOMISH
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State | WA
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Zip | 98290-1355
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Country | US
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Telephone | 425-276-1578
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 993
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City | CARNATION
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State | WA
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Zip | 98014-0993
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Country | US
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Telephone | 425-533-1959
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC60731465
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License Number State | WA
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