MEDICARE: BRITTANY CHASTEEN

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	101YP2500X	Professional Counselor	73829	TX
2	106H00000X	Marriage & Family Therapist	202479	TX
3	101YM0800X	Mental Health Counselor	LH61108704	WA

General Provider Information

NPI Number	:	1760063549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY CHASTEEN

Provider Business Mailing Address
First Line	:	4742 42ND AVE SW # 196
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4553
Country	:	US
Telephone Number	:	206-848-8448
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	09/04/2022

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Directions to “ BRITTANY CHASTEEN ” Practice Location

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