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NPI Code Detail

MEDICARE: MS. THERESA C BEI CDP

MEDICARE: MS. THERESA C BEI CDP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCP00003500WA

General Provider Information

NPI Number : 1114292562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THERESA C BEI CDP
Provider Business Mailing Address
First Line : 16715 AURORA AVE N STE 102
Second Line :
City : SHORELINE
State : WA
Zip : 98133-5310
Country : US
Telephone Number : 206-546-9766
Fax Number : 206-542-0326
Provider Business Practice Location Address
First Line : 16715 AURORA AVE N STE 102
Second Line :
City : SHORELINE
State : WA
Zip : 98133-5310
Country : US
Telephone Number : 206-547-9766
Fax Number : 206-542-0326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2012
Last Update Date : 03/19/2012

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Directions to “ MS. THERESA C BEI CDP” Practice Location

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