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NPI Code Detail

MEDICARE: MS. DORCAS NUNG M.A., L.M.F.T.

MEDICARE: MS. DORCAS NUNG M.A., L.M.F.T.
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 TherapistMFC 45146CA
2106H00000XMarriage & Family TherapistLF60139053WA

General Provider Information

NPI Number : 1386775062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DORCAS NUNG M.A., L.M.F.T.
Provider Business Mailing Address
First Line : 2219 RIMLAND DR STE 301
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8759
Country : US
Telephone Number : 818-209-5304
Fax Number :
Provider Business Practice Location Address
First Line : 2219 RIMLAND DR STE 301
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8759
Country : US
Telephone Number : 818-209-5304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 01/23/2018

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