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NPI Code Detail

MEDICARE: TRAN KHANH THAI

MEDICARE: TRAN KHANH THAI
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 CounselorCAAR.CG.70093471WA

General Provider Information

NPI Number : 1669324422
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAN KHANH THAI
Provider Business Mailing Address
First Line : 3639 MARTIN LUTHER KING JR WAY S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6847
Country : US
Telephone Number : 206-805-8985
Fax Number :
Provider Business Practice Location Address
First Line : 3639 MARTIN LUTHER KING JR WAY S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6847
Country : US
Telephone Number : 206-805-8985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ TRAN KHANH THAI ” Practice Location

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