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NPI Code Detail

MEDICARE: MADELINE BALES LMHC

MEDICARE: MADELINE BALES LMHC
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 CounselorMC60581963WA
2101YM0800XMental Health CounselorLH60757151WA

General Provider Information

NPI Number : 1255861886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE BALES LMHC
Provider Business Mailing Address
First Line : 2100 24TH AVE S STE 260
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4644
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 24TH AVE S STE 260
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4644
Country : US
Telephone Number : 206-697-2581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 02/17/2025

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Directions to “ MADELINE BALES LMHC” Practice Location

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