MEDICARE: MS. DEBORAH JEAN ROME 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
1	101YM0800X	Mental Health Counselor	LH00004824	WA

General Provider Information

NPI Number	:	1295743235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH JEAN ROME LMHC

Provider Business Mailing Address
First Line	:	617 W MERCER PL
Second Line	:	#401
City	:	SEATTLE
State	:	WA
Zip	:	98119-3837
Country	:	US
Telephone Number	:	206-284-8185
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2312
Country	:	US
Telephone Number	:	206-284-8185
Fax Number	:

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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