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General NPI Number Information
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NPI Number | 1962917526
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Entity Type | Individual
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Provider Name | LENNI ERIN SHEA MA, SUDP, LMHCA
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Gender |
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 510 19TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-4095
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Country | US
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Telephone | 206-299-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 510 19TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-4095
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Country | US
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Telephone | 206-299-1303
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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 | MC61308087
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CP60662707
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60662707
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License Number State | WA
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