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NPI Code Detail

MEDICARE: MS. CHRISTINA MARIE WELLMAN L.M.H.C.

MEDICARE: MS. CHRISTINA MARIE WELLMAN L.M.H.C.
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 CounselorLH60502687WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346651098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA MARIE WELLMAN L.M.H.C.
Provider Business Mailing Address
First Line : PO BOX 541
Second Line :
City : SHELTON
State : WA
Zip : 98584-0541
Country : US
Telephone Number : 360-358-2085
Fax Number :
Provider Business Practice Location Address
First Line : 2146 W RAILROAD AVE STE A
Second Line :
City : SHELTON
State : WA
Zip : 98584-7126
Country : US
Telephone Number : 360-358-2085
Fax Number : 360-485-4964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2014
Last Update Date : 07/01/2024

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