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NPI Code Detail

MEDICARE: PHILLIP A TAGEANT MSW, LMHC

MEDICARE:   PHILLIP A TAGEANT  MSW, 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 CounselorLH60247135WA

General Provider Information

NPI Number : 1265492474
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP A TAGEANT MSW, LMHC
Provider Business Mailing Address
First Line : PO BOX 2569
Second Line :
City : EVERETT
State : WA
Zip : 98213-0569
Country : US
Telephone Number : 425-212-4200
Fax Number : 425-212-4201
Provider Business Practice Location Address
First Line : 811 MADISON ST
Second Line :
City : EVERETT
State : WA
Zip : 98203-4543
Country : US
Telephone Number : 425-212-4200
Fax Number : 360-676-7750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 01/15/2021

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Directions to “ PHILLIP A TAGEANT MSW, LMHC” Practice Location

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