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General NPI Number Information
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NPI Number | 1982108171
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Entity Type | Individual
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Provider Name | HALEY MARIE ACRA MS, LMHC, MHP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2101 4TH AVE STE 1850
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City | SEATTLE
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State | WA
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Zip | 98121-2360
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Country | US
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Telephone | 415-202-5159
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 CORNWALL AVE STE 205
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City | BELLINGHAM
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State | WA
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Zip | 98225-4642
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Country | US
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Telephone | 360-676-6177
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Fax | 360-671-3574
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC015060
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60990398
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License Number State | WA
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