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NPI Code Detail

MEDICARE: ISABELLA J BINGEN

MEDICARE: ISABELLA J BINGEN
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 : 1497356851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA J BINGEN
Provider Business Mailing Address
First Line : 8615 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4806
Country : US
Telephone Number : 206-481-4660
Fax Number :
Provider Business Practice Location Address
First Line : 8615 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4806
Country : US
Telephone Number : 206-481-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2020
Last Update Date : 11/05/2020

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Directions to “ ISABELLA J BINGEN ” Practice Location

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