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General NPI Number Information
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NPI Number | 1982809448
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Entity Type | Individual
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Provider Name | KIMBERLY KAMMERAAD MA LMHC NBCC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 5423 S. 54TH
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-380-3845
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Fax | 360-373-3746
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Provider Business Mailing Address
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Address Line | 810 FIR PARK LN
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City | FIRCREST
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State | WA
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Zip | 98466-6835
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Country | US
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Telephone | 253-380-3845
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Fax | 253-473-0474
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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 | LH00010825
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License Number State | WA
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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 | LH 00010825
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License Number State | WA
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