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NPI Code Detail

MEDICARE: JOSHUA COHEN M.A., L.M.H.C

MEDICARE: JOSHUA COHEN M.A., 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 CounselorLH00009060WA

General Provider Information

NPI Number : 1356561823
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA COHEN M.A., L.M.H.C
Provider Business Mailing Address
First Line : 5416 46TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2402
Country : US
Telephone Number : 206-228-0353
Fax Number :
Provider Business Practice Location Address
First Line : 511 28TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4161
Country : US
Telephone Number : 206-228-0353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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