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General NPI Number Information
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NPI Number | 1962882597
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Entity Type | Individual
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Provider Name | RASHIDAH JAMILA HAQQ
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1601 E 4TH PLAIN BLVD BLDG 17 STE B222
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City | VANCOUVER
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State | WA
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Zip | 98661-3753
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Country | US
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Telephone | 360-397-8484
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Fax | 360-397-8494
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Provider Business Mailing Address
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Address Line | 901 NEW MEISTER LN APT 528
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-5873
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Country | US
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Telephone | 541-543-3382
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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