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NPI Code Detail

MEDICARE: ALLORA SIERRA TVEDT LMHCA

MEDICARE: ALLORA SIERRA TVEDT LMHCA
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 Counselor60774417WA

General Provider Information

NPI Number : 1477044451
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLORA SIERRA TVEDT LMHCA
Provider Business Mailing Address
First Line : 1537 15TH AVE S # B
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3415
Country : US
Telephone Number : 509-460-1539
Fax Number :
Provider Business Practice Location Address
First Line : 2100 24TH AVE S # 206
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4637
Country : US
Telephone Number : 206-437-7772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2018
Last Update Date : 05/24/2018

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Directions to “ ALLORA SIERRA TVEDT LMHCA” Practice Location

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