MEDICARE: STEPHANIE ARDAKANI

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		WA
2	106H00000X	Marriage & Family Therapist	LF61254197	WA

General Provider Information

NPI Number	:	1326422064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ARDAKANI

Provider Business Mailing Address
First Line	:	62 CEDAR ST APT 702
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1774
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 CEDAR ST APT 702
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1774
Country	:	US
Telephone Number	:	424-247-6012
Fax Number	:

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

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	04/09/2024

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Directions to “ STEPHANIE ARDAKANI ” Practice Location

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