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NPI 1912384587

NPI 1912384587 : KAREN BETTS MFT : ISSAQUAH, WA

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General NPI Number Information
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    NPI Number           |    1912384587
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN BETTS MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/02/2015
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    Last Update Date     |    08/26/2020
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Provider Practice Location Address
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    Address Line         |    545 RAINIER BLVD N STE 11 
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    City                 |    ISSAQUAH
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    State                |    WA
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    Zip                  |    98027-2806
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    Country              |    US
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    Telephone            |    425-979-2029
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    400 NW GILMAN BLVD UNIT 1600 
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    City                 |    ISSAQUAH
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    State                |    WA
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    Zip                  |    98027-0195
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    Country              |    US
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    Telephone            |    425-503-0071
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LF 60537865
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    License Number State |    WA
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