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NPI Code Detail

MEDICARE: MS. JORDANA COHEN LMHC

MEDICARE: MS. JORDANA COHEN LMHC
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 Counselor
2101YM0800XMental Health CounselorMC60760045WA
3101YM0800XMental Health CounselorLH61344440WA

General Provider Information

NPI Number : 1447658083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JORDANA COHEN LMHC
Provider Business Mailing Address
First Line : 2911 2ND AVE UNIT 508
Second Line :
City : SEATTLE
State : WA
Zip : 98121-3050
Country : US
Telephone Number : 206-593-7223
Fax Number :
Provider Business Practice Location Address
First Line : 2911 2ND AVE UNIT 508
Second Line :
City : SEATTLE
State : WA
Zip : 98121-3050
Country : US
Telephone Number : 206-593-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2014
Last Update Date : 11/20/2023

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