MEDICARE: BRITTANY ANN CHANEL WANLESS

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

General Provider Information

NPI Number	:	1275350316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ANN CHANEL WANLESS

Provider Business Mailing Address
First Line	:	23205 TIGER CREEK RD
Second Line	:
City	:	GRANITE FALLS
State	:	WA
Zip	:	98252-8557
Country	:	US
Telephone Number	:	425-268-6997
Fax Number	:

Provider Business Practice Location Address
First Line	:	3802 S OTHELLO ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3562
Country	:	US
Telephone Number	:	206-628-2008
Fax Number	:

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

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	09/20/2024

Similar Medicare Providers

1326385451 — HOPECENTRAL
Practice Location Address:

3826 S OTHELLO ST
SEATTLE, WA
98118-3562

Practice Phone: 206-455-9845
Practice Fax: 206-723-1701

1447943840 — SEATTLE'S UNION GOSPEL MISSION
Practice Location Address:

3800 S OTHELLO ST
SEATTLE, WA
98118-3562

Practice Phone: 206-432-8412
Practice Fax:

1992517965 — DUSTIN KHANH PHAN LICSWA
Practice Location Address:

3800 S OTHELLO ST
SEATTLE, WA
98118-3562

Practice Phone: 706-633-0405
Practice Fax:

1235926049 — TIMOTHY WALKER
Practice Location Address:

3802 S OTHELLO ST
SEATTLE, WA
98118-3562

Practice Phone: 206-450-8232
Practice Fax:

1760958474 — BROOKE HEYMAN INTEGRATIVE PSYCHIATRY, P.C.
Practice Location Address:

1417 NW 54TH ST STE 460
SEATTLE, WA
98107-3562

Practice Phone: 206-257-3707
Practice Fax:

1003975095 — NEIGHBORCARE HEALTH
Practice Location Address:

2601 SW KENYON ST
SEATTLE, WA
98126-3562

Practice Phone: 206-923-2809
Practice Fax: 206-923-2818

Directions to “ BRITTANY ANN CHANEL WANLESS ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.