MEDICARE: MEGAN CORRINE RIZZO LPC

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
1	101YP2500X	Professional Counselor	2021014953	MO
2	101YP2500X	Professional Counselor	LH616509940	WA

General Provider Information

NPI Number	:	1376126714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CORRINE RIZZO LPC

Provider Business Mailing Address
First Line	:	1414 S G ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33400 9TH AVE S STE 100
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-2607
Country	:	US
Telephone Number	:	206-567-7267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	05/14/2025

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