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NPI Code Detail

MEDICARE: ALEXIS CHAN LANGBEHN LMFT

MEDICARE: ALEXIS CHAN LANGBEHN LMFT
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
1106H00000XMarriage & Family TherapistLF61493643WA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1396355954
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS CHAN LANGBEHN LMFT
Provider Business Mailing Address
First Line : 3715 S HUDSON ST STE 102
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2171
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3715 S HUDSON ST STE 102
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2171
Country : US
Telephone Number : 425-728-0986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2020
Last Update Date : 08/20/2024

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Directions to “ ALEXIS CHAN LANGBEHN LMFT” Practice Location

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