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General NPI Number Information
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NPI Number | 1922347814
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Entity Type | Individual
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Provider Name | KACIE MICHELLE ZEDIKER LMHC, ATR
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 505 S 336TH ST STE 530
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5947
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Country | US
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Telephone | 253-400-8657
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Fax | 425-276-0243
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Provider Business Mailing Address
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Address Line | 505 S 336TH ST STE 530
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5947
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Country | US
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Telephone | 253-400-8657
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Fax | 425-276-0243
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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 | LH61500883
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License Number State | WA
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