MEDICARE: CHASTEEN COUNSELING, PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1720742133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHASTEEN COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	4742 42ND AVE SW # 196
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9036 35TH AVE SW STE B
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-3821
Country	:	US
Telephone Number	:	206-848-8448
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTANY CHASTEEN
Credential	:	LMHC
Telephone Number	:	206-848-8448

Provider Enumeration Date	:	10/22/2021
Last Update Date	:	09/04/2022

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