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NPI Code Detail

MEDICARE: MS. MARY KATE STANTON-NURSE LMFTA

MEDICARE: MS. MARY KATE STANTON-NURSE LMFTA
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
1106H00000XMarriage & Family TherapistMG60682412WA

General Provider Information

NPI Number : 1346644481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY KATE STANTON-NURSE LMFTA
Provider Business Mailing Address
First Line : 13543 BURKE AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98133-7712
Country : US
Telephone Number : 206-412-5441
Fax Number :
Provider Business Practice Location Address
First Line : 564 NE RAVENNA BLVD
Second Line :
City : SEATTLE
State : WA
Zip : 98115-6460
Country : US
Telephone Number : 206-527-2266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2014
Last Update Date : 05/28/2026

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Directions to “ MS. MARY KATE STANTON-NURSE LMFTA” Practice Location

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