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NPI Code Detail

MEDICARE: MS. MICHELLE MARIE MANN ED.D

MEDICARE:  MS. MICHELLE MARIE MANN  ED.D
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
1101Y00000XCounselorRC00046851WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720239387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE MARIE MANN ED.D
Provider Business Mailing Address
First Line : 21428 95TH PL W
Second Line :
City : EDMONDS
State : WA
Zip : 98020-3318
Country : US
Telephone Number : 206-235-3167
Fax Number :
Provider Business Practice Location Address
First Line : 2200 RAINIER AVE S STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4642
Country : US
Telephone Number : 206-417-9904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 05/21/2021

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Directions to “ MS. MICHELLE MARIE MANN ED.D” Practice Location

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