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General NPI Number Information
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NPI Number | 1962933044
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Entity Type | Individual
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Provider Name | CHRISTI PROFFITT MA, LMHC, RDT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 1833 N 105TH ST
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City | SEATTLE
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State | WA
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Zip | 98133-8973
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Country | US
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Telephone | 206-823-1563
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Fax | 206-501-4752
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Provider Business Mailing Address
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Address Line | 1833 N 105TH ST
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City | SEATTLE
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State | WA
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Zip | 98133-8973
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Country | US
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Telephone | 206-823-1563
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Fax | 206-501-4752
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number | 715
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO60565391
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC60687260
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License Number State | WA
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