MEDICARE: MUIRENN LEINSTER 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
1	101YM0800X	Mental Health Counselor	MC61438505	WA

General Provider Information

NPI Number	:	1215573688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUIRENN LEINSTER LMHCA

Provider Business Mailing Address
First Line	:	1417 NW 54TH ST STE 316
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3573
Country	:	US
Telephone Number	:	206-518-0719
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 NW 54TH ST STE 316
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3573
Country	:	US
Telephone Number	:	425-270-8761
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	07/31/2023

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