MEDICARE: MS. LINDA LEE HANBY BS, MFTA, RC

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	RC00035597	WA

General Provider Information

NPI Number	:	1588823439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA LEE HANBY BS, MFTA, RC

Provider Business Mailing Address
First Line	:	19435 68TH AVE S
Second Line	:	S108
City	:	KENT
State	:	WA
Zip	:	98032-2102
Country	:	US
Telephone Number	:	253-398-2023
Fax Number	:	253-398-2025

Provider Business Practice Location Address
First Line	:	19435 68TH AVE S STE S108
Second Line	:	LINDA HANBY FAMILY THERAPY
City	:	KENT
State	:	WA
Zip	:	98032-2114
Country	:	US
Telephone Number	:	253-398-2023
Fax Number	:	253-398-2025

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

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	03/04/2010

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