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NPI Code Detail

MEDICARE: AQUILA CHOI MA, LMHCA

MEDICARE: AQUILA CHOI MA, LMHCA
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
1101Y00000XCounselorCG61219096WA
2101YM0800XMental Health CounselorMC61231464WA
3101YM0800XMental Health CounselorMHC.LH.61509389WA

General Provider Information

NPI Number : 1215566443
Entity Type Code : Individual
Provider Name (Legal Business Name) : AQUILA CHOI MA, LMHCA
Provider Business Mailing Address
First Line : 16212 BOTHELL EVERETT HWY STE F210
Second Line :
City : MILL CREEK
State : WA
Zip : 98012-1603
Country : US
Telephone Number : 206-227-2682
Fax Number :
Provider Business Practice Location Address
First Line : 4526 FEDERAL AVE
Second Line :
City : EVERETT
State : WA
Zip : 98203-2132
Country : US
Telephone Number : 425-349-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 06/17/2026

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