Healthcare Provider Details

I. General information

NPI: 1043881436
Provider Name (Legal Business Name): ANNE MARIE YACOPETTI MA, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNIE YACOPETTI MA, LMHCA

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3272 FUHRMAN AVE E
SEATTLE WA
98102-4190
US

IV. Provider business mailing address

PO BOX 99101
SEATTLE WA
98139-0101
US

V. Phone/Fax

Practice location:
  • Phone: 917-836-7991
  • Fax:
Mailing address:
  • Phone: 917-836-7991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: