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NPI Code Detail

MEDICARE: LEIGH ANNA EISELE MS, LMHC, LCPC

MEDICARE: LEIGH ANNA EISELE MS, LMHC, LCPC
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 CounselorLC12502MD
2101YM0800XMental Health CounselorLH61272503WA

General Provider Information

NPI Number : 1720703580
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH ANNA EISELE MS, LMHC, LCPC
Provider Business Mailing Address
First Line : 4014 E GALER ST
Second Line :
City : SEATTLE
State : WA
Zip : 98112-3812
Country : US
Telephone Number : 206-734-9540
Fax Number :
Provider Business Practice Location Address
First Line : 4126 E MADISON ST STE 204
Second Line :
City : SEATTLE
State : WA
Zip : 98112-3345
Country : US
Telephone Number : 206-926-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2022
Last Update Date : 10/04/2022

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