MEDICARE: JAYMES MEGHAN CARVIN

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1396561072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYMES MEGHAN CARVIN

Provider Business Mailing Address
First Line	:	1400 MADISON ST APT 1722
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-1799
Country	:	US
Telephone Number	:	209-604-7846
Fax Number	:

Provider Business Practice Location Address
First Line	:	2855 SW 106TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98146-1200
Country	:	US
Telephone Number	:	317-902-6359
Fax Number	:

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

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	11/27/2024

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Directions to “ JAYMES MEGHAN CARVIN ” Practice Location

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