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General NPI Number Information
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NPI Number | 1962337824
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Entity Type | Organization
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Legal Business Name | WATERFALL THERAPY LLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 1920 NE 179TH ST UNIT 3104
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City | RIDGEFIELD
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State | WA
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Zip | 98642-5596
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Country | US
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Telephone | 541-326-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0581
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Country | US
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Telephone | 360-506-3214
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | KARLA IVETTE PARRA MACHUCA
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Credential | MA
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Telephone | 360-506-3214
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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 |
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License Number State |
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