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NPI Code Detail

MEDICARE: JACLYNN MOERGELI

MEDICARE:   JACLYNN  MOERGELI
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 CounselorMC60193561WA

General Provider Information

NPI Number : 1518329424
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYNN MOERGELI
Provider Business Mailing Address
First Line : 219 1ST AVE S STE 310
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2551
Country : US
Telephone Number : 206-604-4211
Fax Number :
Provider Business Practice Location Address
First Line : 219 1ST AVE S STE 310
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2551
Country : US
Telephone Number : 206-604-4211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 03/22/2016

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Directions to “ JACLYNN MOERGELI ” Practice Location

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