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NPI Code Detail

MEDICARE: KATHERINE HARA MHC

MEDICARE: KATHERINE HARA MHC
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
1101Y00000XCounselorRC00035286
2101YM0800XMental Health CounselorLH60104853WA
31041C0700XClinical Social WorkerLW60144392WA

General Provider Information

NPI Number : 1780907071
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE HARA MHC
Provider Business Mailing Address
First Line : 905 SPRUCE ST
Second Line : SUITE #300
City : SEATTLE
State : WA
Zip : 98104-2474
Country : US
Telephone Number : 206-548-3114
Fax Number : 206-762-6355
Provider Business Practice Location Address
First Line : 2600 SW THISTLE ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-3748
Country : US
Telephone Number : 206-461-6935
Fax Number : 206-461-8382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2010
Last Update Date : 06/04/2012

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Directions to “ KATHERINE HARA MHC” Practice Location

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