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General NPI Number Information
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NPI Number | 1952068462
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Entity Type | Individual
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Provider Name | JOSHUA KRAETSCH LMHC
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Gender | Male
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 112 KALA SQUARE PL STE 2
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-9810
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Country | US
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Telephone | 360-390-5844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1421
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City | PORT HADLOCK
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State | WA
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Zip | 98339-1421
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Country | US
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Telephone | 507-421-3458
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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 | LH61561434
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License Number State | WA
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