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NPI Code Detail

MEDICARE: ALANA JAECK LMHC

MEDICARE: ALANA JAECK LMHC
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
1101YP2500XProfessional CounselorLH60707802WA
2101YM0800XMental Health CounselorLH60707802WA
3101YM0800XMental Health Counselor321463NY

General Provider Information

NPI Number : 1548707961
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANA JAECK LMHC
Provider Business Mailing Address
First Line : 4505 44TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4505 44TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4116
Country : US
Telephone Number : 646-543-7878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2017
Last Update Date : 06/10/2026

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Directions to “ ALANA JAECK LMHC” Practice Location

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