MEDICARE: MS. ELIZABETH JANE HUEHNERGARTH LMHCA

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	MC61521592	WA

General Provider Information

NPI Number	:	1366260655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH JANE HUEHNERGARTH LMHCA

Provider Business Mailing Address
First Line	:	6031 VASSAR AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7622
Country	:	US
Telephone Number	:	206-650-2996
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 34TH AVE STE 204
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-3634
Country	:	US
Telephone Number	:	206-650-2996
Fax Number	:

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

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	09/26/2024

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