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NPI Code Detail

MEDICARE: CASI NICOLE WOODS LMHCA

MEDICARE:   CASI NICOLE WOODS  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
1101Y00000XCounselorMC60978622WA

General Provider Information

NPI Number : 1538712708
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASI NICOLE WOODS LMHCA
Provider Business Mailing Address
First Line : 4715 42ND AVE SW APT 506
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4617
Country : US
Telephone Number : 239-464-8968
Fax Number :
Provider Business Practice Location Address
First Line : 3832 CALIFORNIA AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-3704
Country : US
Telephone Number : 237-499-8206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2019
Last Update Date : 07/17/2019

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Directions to “ CASI NICOLE WOODS LMHCA” Practice Location

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