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NPI Code Detail

MEDICARE: MS. ROBYN FURSE M.A.

MEDICARE: MS. ROBYN FURSE M.A.
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
1101Y00000XCounselor
2101Y00000XCounselorMC60160511WA

General Provider Information

NPI Number : 1396061727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBYN FURSE M.A.
Provider Business Mailing Address
First Line : 711 STATE AVE NE
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-3984
Country : US
Telephone Number : 360-943-0780
Fax Number :
Provider Business Practice Location Address
First Line : 711 STATE AVE NE
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-3984
Country : US
Telephone Number : 360-943-0780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2010
Last Update Date : 09/26/2022

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