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NPI Code Detail

MEDICARE: MRS. YEKATERINA VISKOVA MA

MEDICARE: MRS. YEKATERINA VISKOVA MA
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 CounselorLH60116260WA

General Provider Information

NPI Number : 1154653608
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YEKATERINA VISKOVA MA
Provider Business Mailing Address
First Line : 4505 44TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4116
Country : US
Telephone Number : 425-533-7202
Fax Number : 425-227-5524
Provider Business Practice Location Address
First Line : 4505 44TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4116
Country : US
Telephone Number : 425-533-7202
Fax Number : 425-227-5524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2010
Last Update Date : 02/09/2010

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Directions to “ MRS. YEKATERINA VISKOVA MA” Practice Location

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