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Individual
MRS. TANYA KAI MARRAZZO
Active
Individual
MRS. TANYA KAI MARRAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CDP MHP LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60280436
WA
101YM0800X
Mental Health Counselor
Primary
LH 60510123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044924
—
WA
Enumeration date
01/06/2015
Last updated
04/11/2017
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