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NPI Code Detail

MEDICARE: MRS. RONDALE K FELIX M.S., LMHC

MEDICARE:  MRS. RONDALE K FELIX  M.S., 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
1101Y00000XCounselorRC60101821WA
2171M00000XCase Manager/Care CoordinatorWA

General Provider Information

NPI Number : 1285862821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RONDALE K FELIX M.S., LMHC
Provider Business Mailing Address
First Line : 418 CARPENTER RD SE STE 104
Second Line :
City : LACEY
State : WA
Zip : 98503-7905
Country : US
Telephone Number : 360-888-3776
Fax Number :
Provider Business Practice Location Address
First Line : 418 CARPENTER RD SE STE 104
Second Line :
City : LACEY
State : WA
Zip : 98503-7905
Country : US
Telephone Number : 360-888-3776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2009
Last Update Date : 09/19/2016

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Directions to “ MRS. RONDALE K FELIX M.S., LMHC” Practice Location

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