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NPI Code Detail

MEDICARE: MARTHA STEBBINS-AGUINIGA LMHC

MEDICARE: MARTHA STEBBINS-AGUINIGA 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
1101YM0800XMental Health CounselorLH60512444WA
2101YM0800XMental Health Counselor60512444WA

General Provider Information

NPI Number : 1417326125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA STEBBINS-AGUINIGA LMHC
Provider Business Mailing Address
First Line : 3850 33RD AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2514
Country : US
Telephone Number : 206-822-3802
Fax Number :
Provider Business Practice Location Address
First Line : 3500 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2731
Country : US
Telephone Number : 206-717-4470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2015
Last Update Date : 01/22/2021

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