MEDICARE: MRS. MARIA BEATRIZ GIRALDO M.A. COUNSELING

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	101YP2500X	Professional Counselor	RC00050943	WA

General Provider Information

NPI Number	:	1225129786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA BEATRIZ GIRALDO M.A. COUNSELING

Provider Business Mailing Address
First Line	:	PO BOX 66
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-0010
Country	:	US
Telephone Number	:	360-565-0228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1437 VIEW VISTA PARK
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-9356
Country	:	US
Telephone Number	:	360-461-5188
Fax Number	:

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/21/2008

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