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NPI Code Detail

MEDICARE: MS. KERRY ELENA WOOD LMHC

MEDICARE: MS. KERRY ELENA WOOD LMHC
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 CounselorLH61449131WA

General Provider Information

NPI Number : 1164999264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KERRY ELENA WOOD LMHC
Provider Business Mailing Address
First Line : 2100 24TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4637
Country : US
Telephone Number : 206-382-5340
Fax Number :
Provider Business Practice Location Address
First Line : 2100 24TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4637
Country : US
Telephone Number : 206-382-5340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2018
Last Update Date : 12/06/2024

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Directions to “ MS. KERRY ELENA WOOD LMHC” Practice Location

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