MEDICARE: ANGELA DAY

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	106H00000X	Marriage & Family Therapist	LF61299916	WA

General Provider Information

NPI Number	:	1619329430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA DAY

Provider Business Mailing Address
First Line	:	4501 RAINIER AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1656
Country	:	US
Telephone Number	:	206-717-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 RAINIER AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1656
Country	:	US
Telephone Number	:	206-717-5553
Fax Number	:

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

Provider Enumeration Date	:	07/05/2016
Last Update Date	:	09/14/2023

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Directions to “ ANGELA DAY ” Practice Location

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