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NPI Code Detail

MEDICARE: MEL PURPOSE

MEDICARE: MEL PURPOSE
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

General Provider Information

NPI Number : 1477067551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEL PURPOSE
Provider Business Mailing Address
First Line : 2745 60TH AVE SW APT C
Second Line :
City : SEATTLE
State : WA
Zip : 98116-2859
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3722 S HUDSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1920
Country : US
Telephone Number : 206-721-5542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2017
Last Update Date : 11/28/2017

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Directions to “ MEL PURPOSE ” Practice Location

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