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NPI Code Detail

MEDICARE: SIOBHAN CHANDLER

MEDICARE:   SIOBHAN  CHANDLER
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
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1164370219
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIOBHAN CHANDLER
Provider Business Mailing Address
First Line : 30405 SE 84TH ST UNIT 236
Second Line :
City : PRESTON
State : WA
Zip : 98050-9804
Country : US
Telephone Number : 206-561-1126
Fax Number :
Provider Business Practice Location Address
First Line : 371 NE GILMAN BLVD # 101
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2901
Country : US
Telephone Number : 206-561-1126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ SIOBHAN CHANDLER ” Practice Location

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