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NPI Code Detail

MEDICARE: F. CHRISTOPHER SIEDOW L.M.H.C.

MEDICARE: F. CHRISTOPHER SIEDOW L.M.H.C.
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 CounselorLH60034720WA

General Provider Information

NPI Number : 1780745307
Entity Type Code : Individual
Provider Name (Legal Business Name) : F. CHRISTOPHER SIEDOW L.M.H.C.
Provider Business Mailing Address
First Line : 921 14TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2316
Country : US
Telephone Number : 360-423-0203
Fax Number :
Provider Business Practice Location Address
First Line : 921 14TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2316
Country : US
Telephone Number : 360-423-0452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 01/05/2009

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Directions to “ F. CHRISTOPHER SIEDOW L.M.H.C.” Practice Location

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