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NPI Code Detail

MEDICARE: KELCI SCHAEFFER MA

MEDICARE:   KELCI  SCHAEFFER  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist0717002657VA
2106H00000XMarriage & Family TherapistMFT.LF.70013886WA
3106H00000XMarriage & Family Therapist00471NC

General Provider Information

NPI Number : 1093467722
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELCI SCHAEFFER MA
Provider Business Mailing Address
First Line : 1420 NW GILMAN BLVD
Second Line : SUITE 2 PMB9211
City : ISSAQUAH
State : WA
Zip : 98027-5394
Country : US
Telephone Number : 206-265-3900
Fax Number :
Provider Business Practice Location Address
First Line : 1420 NW GILMAN BLVD
Second Line : SUITE 2 #9211
City : ISSAQUAH
State : WA
Zip : 98027-5394
Country : US
Telephone Number : 910-378-9206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2022
Last Update Date : 06/01/2026

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Directions to “ KELCI SCHAEFFER MA” Practice Location

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