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NPI Code Detail

MEDICARE: MICHELE MANNIX

MEDICARE: MICHELE MANNIX
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) Counselor07-R-20OR
2101Y00000XCounselor

General Provider Information

NPI Number : 1114125291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE MANNIX
Provider Business Mailing Address
First Line : 515 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 515 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2304
Country : US
Telephone Number : 206-464-1570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 11/29/2021

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Directions to “ MICHELE MANNIX ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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