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NPI Code Detail

MEDICARE: KRISTI KANEHEN

MEDICARE: KRISTI KANEHEN
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 Counselor

General Provider Information

NPI Number : 1255150611
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI KANEHEN
Provider Business Mailing Address
First Line : 7109 WOODLAWN AVE NE STE 204
Second Line :
City : SEATTLE
State : WA
Zip : 98115-5434
Country : US
Telephone Number : 929-352-4838
Fax Number :
Provider Business Practice Location Address
First Line : 7109 WOODLAWN AVE NE STE 204
Second Line :
City : SEATTLE
State : WA
Zip : 98115-5434
Country : US
Telephone Number : 929-352-4838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2024
Last Update Date : 10/03/2024

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Directions to “ KRISTI KANEHEN ” Practice Location

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