MEDICARE: SHIRA HASSON-SCHIFF 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
1	101YM0800X	Mental Health Counselor	RC00053931	WA
2	101YM0800X	Mental Health Counselor	LH60764530	WA

General Provider Information

NPI Number	:	1215001961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRA HASSON-SCHIFF MA

Provider Business Mailing Address
First Line	:	2207 NE 65TH ST STE 202
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7097
Country	:	US
Telephone Number	:	206-289-0170
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 NE 65TH ST STE 202
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7097
Country	:	US
Telephone Number	:	206-289-0170
Fax Number	:

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	05/03/2020

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Directions to “ SHIRA HASSON-SCHIFF MA” Practice Location

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