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NPI Code Detail

MEDICARE: SOUTHWEST YOUTH AND FAMILY SERVICES

MEDICARE: SOUTHWEST YOUTH AND FAMILY SERVICES
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
1101YM0800XMental Health Counselor172WA

General Provider Information

NPI Number : 1588874432
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST YOUTH AND FAMILY SERVICES
Provider Business Mailing Address
First Line : 4555 DELRIDGE WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-1379
Country : US
Telephone Number : 206-937-7680
Fax Number : 206-935-9967
Provider Business Practice Location Address
First Line : 4555 DELRIDGE WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-1379
Country : US
Telephone Number : 206-937-7680
Fax Number : 206-935-9967
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. STEVE DASCHLE
Credential :
Telephone Number : 206-937-7680
Provider Enumeration Date : 05/22/2007
Last Update Date : 08/22/2020

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Directions to “SOUTHWEST YOUTH AND FAMILY SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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