MEDICARE: MS. LAURA ALLAN MA, RC

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	101YP2500X	Professional Counselor	RC00058045	WA

General Provider Information

NPI Number	:	1437326600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA ALLAN MA, RC

Provider Business Mailing Address
First Line	:	2655 34TH AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-3224
Country	:	US
Telephone Number	:	206-999-1192
Fax Number	:

Provider Business Practice Location Address
First Line	:	4444 WOODLAND PARK AVE N
Second Line	:	SUITE 202
City	:	SEATTLE
State	:	WA
Zip	:	98103-7429
Country	:	US
Telephone Number	:	206-999-1192
Fax Number	:

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

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	07/06/2009

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