MEDICARE: MS. KARA MARAN HARRISON

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	101200000X	Drama Therapist
2	106H00000X	Marriage & Family Therapist	MFTA.MG.61534669	WA

General Provider Information

NPI Number	:	1568228203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARA MARAN HARRISON

Provider Business Mailing Address
First Line	:	730 N 85TH ST APT 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3836
Country	:	US
Telephone Number	:	912-381-6052
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 N 85TH ST APT 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3836
Country	:	US
Telephone Number	:	912-381-6052
Fax Number	:

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

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	02/23/2024

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