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NPI Code Detail

MEDICARE: JULIA NIREN BONNHEIM

MEDICARE: JULIA NIREN BONNHEIM
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 CounselorLH61272330WA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861967135
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA NIREN BONNHEIM
Provider Business Mailing Address
First Line : 153 MADRONA PL E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5009
Country : US
Telephone Number : 617-645-0160
Fax Number :
Provider Business Practice Location Address
First Line : 2033 6TH AVE STE 826
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2593
Country : US
Telephone Number : 206-257-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 10/26/2022

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Directions to “ JULIA NIREN BONNHEIM ” Practice Location

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