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NPI Code Detail

MEDICARE: MISS CARLOTTA S DOSS SUDPT

MEDICARE: MISS CARLOTTA S DOSS SUDPT
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
1225700000XMassage TherapistMA60256005WA
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1588932313
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CARLOTTA S DOSS SUDPT
Provider Business Mailing Address
First Line : 1135 24TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1116 SUMMIT AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98101-2831
Country : US
Telephone Number : 206-323-0930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2011
Last Update Date : 12/06/2023

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Directions to “ MISS CARLOTTA S DOSS SUDPT” Practice Location

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