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NPI Code Detail

MEDICARE: JANELLE NATIVIDAD LMHCA, SUDPT

MEDICARE: JANELLE NATIVIDAD LMHCA, SUDPT
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 CounselorMC61254646WA

General Provider Information

NPI Number : 1295322824
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE NATIVIDAD LMHCA, SUDPT
Provider Business Mailing Address
First Line : 2008 WESTLAKE AVE STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2695
Country : US
Telephone Number : 206-956-9570
Fax Number : 206-448-8495
Provider Business Practice Location Address
First Line : 2008 WESTLAKE AVE STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2695
Country : US
Telephone Number : 206-450-7480
Fax Number : 206-448-8495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 02/05/2026

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Directions to “ JANELLE NATIVIDAD LMHCA, SUDPT” Practice Location

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