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NPI Code Detail

MEDICARE: SHINO HARADA MSW CDP

MEDICARE: SHINO HARADA MSW CDP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCP00005770WA

General Provider Information

NPI Number : 1437633823
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHINO HARADA MSW CDP
Provider Business Mailing Address
First Line : 9045 16TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2355
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9045 16TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2355
Country : US
Telephone Number : 206-762-7207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 09/20/2018

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Directions to “ SHINO HARADA MSW CDP” Practice Location

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