MEDICARE: LAURA WEINSTEIN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1447726401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA WEINSTEIN

Provider Business Mailing Address
First Line	:	2600 SW HOLDEN ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-3505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4020 E MADISON ST STE 240
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-3150
Country	:	US
Telephone Number	:	206-339-3335
Fax Number	:

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

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	09/16/2019

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Directions to “ LAURA WEINSTEIN ” Practice Location

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