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NPI Code Detail

MEDICARE: MIHO SAKAGAMI CDP

MEDICARE: MIHO SAKAGAMI CDP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCP60214884WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053735597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIHO SAKAGAMI CDP
Provider Business Mailing Address
First Line : 3639 MARTIN LUTHER KING JR WAY S
Second Line : SOUTH
City : SEATTLE
State : WA
Zip : 98144-6847
Country : US
Telephone Number : 206-774-2481
Fax Number : 206-695-7606
Provider Business Practice Location Address
First Line : 3639 MARTIN LUTHER KING JR WAY S
Second Line : SOUTH
City : SEATTLE
State : WA
Zip : 98144-6847
Country : US
Telephone Number : 206-774-2481
Fax Number : 206-695-7606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2014
Last Update Date : 02/04/2014

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Directions to “ MIHO SAKAGAMI CDP” Practice Location

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