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NPI Code Detail

MEDICARE: MEG BLADT MCCORMICK LMHCA

MEDICARE: MEG BLADT MCCORMICK LMHCA
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 CounselorMC60997009WA
2101YM0800XMental Health CounselorLH61166815WA
3101Y00000XCounselor

General Provider Information

NPI Number : 1982089835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEG BLADT MCCORMICK LMHCA
Provider Business Mailing Address
First Line : 5047 DELRIDGE WAY SW APT B
Second Line :
City : SEATTLE
State : WA
Zip : 98106-1361
Country : US
Telephone Number : 206-300-7852
Fax Number :
Provider Business Practice Location Address
First Line : 4219 SW JUNEAU ST
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1621
Country : US
Telephone Number : 206-207-5395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 06/30/2025

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Directions to “ MEG BLADT MCCORMICK LMHCA” Practice Location

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