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NPI Code Detail

MEDICARE: NATHAN ALLEN FEUERBORN MA, LMHC

MEDICARE: NATHAN ALLEN FEUERBORN MA, LMHC
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 CounselorLH60858641WA

General Provider Information

NPI Number : 1639642135
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN ALLEN FEUERBORN MA, LMHC
Provider Business Mailing Address
First Line : 1464 21ST AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98122-2904
Country : US
Telephone Number : 206-310-8812
Fax Number :
Provider Business Practice Location Address
First Line : 123 NW 36TH ST STE 210
Second Line :
City : SEATTLE
State : WA
Zip : 98107-4959
Country : US
Telephone Number : 206-310-8812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 01/07/2019

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Directions to “ NATHAN ALLEN FEUERBORN MA, LMHC” Practice Location

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