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NPI Code Detail

MEDICARE: ROBERTA J COLWELL

MEDICARE: ROBERTA J COLWELL
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 Counselor
2390200000XStudent in an Organized Health Care Education/Training Program
3101Y00000XCounselor

General Provider Information

NPI Number : 1154263887
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTA J COLWELL
Provider Business Mailing Address
First Line : 2200 RAINIER AVE S STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4642
Country : US
Telephone Number : 206-417-9904
Fax Number :
Provider Business Practice Location Address
First Line : 2200 RAINIER AVE S STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4642
Country : US
Telephone Number : 206-417-9904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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