MEDICARE: VALERIE CHANCE

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	101YM0800X	Mental Health Counselor	60931081	WA

General Provider Information

NPI Number	:	1801261276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE CHANCE

Provider Business Mailing Address
First Line	:	PO BOX 3810
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98213-8810
Country	:	US
Telephone Number	:	425-349-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 172ND ST NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-7742
Country	:	US
Telephone Number	:	360-572-3475
Fax Number	:	360-435-7941

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

Provider Enumeration Date	:	12/10/2015
Last Update Date	:	10/23/2019

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Directions to “ VALERIE CHANCE ” Practice Location

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