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NPI Code Detail

MEDICARE: CONSUELO MICHELLE MAGALLON-CAPI

MEDICARE:   CONSUELO MICHELLE MAGALLON-CAPI
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
1101Y00000XCounselor61690370WA

General Provider Information

NPI Number : 1629909528
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSUELO MICHELLE MAGALLON-CAPI
Provider Business Mailing Address
First Line : 840 E PLUM ST
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-1874
Country : US
Telephone Number : 509-765-9239
Fax Number :
Provider Business Practice Location Address
First Line : 840 E PLUM ST
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-1874
Country : US
Telephone Number : 509-765-9239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 06/17/2026

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Directions to “ CONSUELO MICHELLE MAGALLON-CAPI ” Practice Location

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