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NPI Code Detail

MEDICARE: BELL TOWER COUNSELING

MEDICARE: BELL TOWER COUNSELING
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
1103TC1900XCounseling Psychologist
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1740865732
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELL TOWER COUNSELING
Provider Business Mailing Address
First Line : 6512 23RD AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98117-5728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6512 23RD AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98117-5728
Country : US
Telephone Number : 206-659-7696
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KATHERINE RIBERA
Credential : LMHCA
Telephone Number : 918-724-2675
Provider Enumeration Date : 03/11/2021
Last Update Date : 09/01/2021

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