MEDICARE: WINDY GUFFEY

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
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1083262497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINDY GUFFEY

Provider Business Mailing Address
First Line	:	325 W GOWE ST
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-5892
Country	:	US
Telephone Number	:	253-833-7444
Fax Number	:

Provider Business Practice Location Address
First Line	:	12736 33RD AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4504
Country	:	US
Telephone Number	:	253-833-7444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2019
Last Update Date	:	08/28/2019

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Directions to “ WINDY GUFFEY ” Practice Location

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