MEDICARE: MRS. JULIANA FLEMING POPE M.S.

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	101YM0800X	Mental Health Counselor	LH00005317	WA

General Provider Information

NPI Number	:	1558562546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIANA FLEMING POPE M.S.

Provider Business Mailing Address
First Line	:	600 N 36TH ST
Second Line	:	SUITE 206
City	:	SEATTLE
State	:	WA
Zip	:	98103-8616
Country	:	US
Telephone Number	:	206-271-4874
Fax Number	:	866-227-5052

Provider Business Practice Location Address
First Line	:	600 N 36TH ST
Second Line	:	SUITE 206
City	:	SEATTLE
State	:	WA
Zip	:	98103-8616
Country	:	US
Telephone Number	:	206-271-4874
Fax Number	:	866-227-5052

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/08/2007

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