MEDICARE: DR. LORI MAGNUSON LMHC, CRC

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	LH61485510	WA

General Provider Information

NPI Number	:	1265998371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI MAGNUSON LMHC, CRC

Provider Business Mailing Address
First Line	:	3927 S PEARL ST APT 10
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3927 S PEARL ST APT 10
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1935
Country	:	US
Telephone Number	:	206-375-4868
Fax Number	:

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

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	04/30/2025

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