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NPI 1932942216

NPI 1932942216 : RACHEL CARLEY M.S. : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1932942216
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL CARLEY M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2024
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    Last Update Date     |    12/30/2024
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Provider Practice Location Address
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    Address Line         |    511 28TH AVE E 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98112-4161
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    Country              |    US
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    Telephone            |    801-655-5450
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    Fax                  |    385-225-9327
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Provider Business Mailing Address
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    Address Line         |    1823 MINOR AVE APT 1810 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98101-0926
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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    |    
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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       |    84774
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LH61529908
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    License Number State |    WA
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