MEDICARE: REBECCA MCDANIEL 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
1	101YP2500X	Professional Counselor	61414288	WA

General Provider Information

NPI Number	:	1649821315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA MCDANIEL LMHC

Provider Business Mailing Address
First Line	:	7511 GREENWOOD AVE N # 917
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4627
Country	:	US
Telephone Number	:	206-414-8029
Fax Number	:

Provider Business Practice Location Address
First Line	:	7511 GREENWOOD AVE N # 917
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4627
Country	:	US
Telephone Number	:	206-414-8029
Fax Number	:

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

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	08/23/2024

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