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NPI Code Detail

MEDICARE: KIM POWERS LMHC, SUDP

MEDICARE: KIM POWERS LMHC, SUDP
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

General Provider Information

NPI Number : 1558470278
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM POWERS LMHC, SUDP
Provider Business Mailing Address
First Line : 2133 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2385
Country : US
Telephone Number : 206-432-3574
Fax Number :
Provider Business Practice Location Address
First Line : 2133 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2385
Country : US
Telephone Number : 206-432-3574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 08/20/2020

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Directions to “ KIM POWERS LMHC, SUDP” Practice Location

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