MEDICARE: DAVID BARSION MA LMHC CMHS

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
1	101YM0800X	Mental Health Counselor	LH00007669	WA

General Provider Information

NPI Number	:	1558465823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BARSION MA LMHC CMHS

Provider Business Mailing Address
First Line	:	5108 196TH ST SW
Second Line	:	STE 325
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6152
Country	:	US
Telephone Number	:	425-308-5309
Fax Number	:	425-774-2321

Provider Business Practice Location Address
First Line	:	5108 196TH ST SW
Second Line	:	STE 325
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6152
Country	:	US
Telephone Number	:	425-308-5309
Fax Number	:	425-774-2321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	07/08/2007

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