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NPI Code Detail

MEDICARE: STEPHANIE ENDRES

MEDICARE:   STEPHANIE  ENDRES
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
1101Y00000XCounselorWA

General Provider Information

NPI Number : 1801786033
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ENDRES
Provider Business Mailing Address
First Line : 2212 S JACKSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2591
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1732 16TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98122-2617
Country : US
Telephone Number : 206-322-2387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 07/08/2025

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Directions to “ STEPHANIE ENDRES ” Practice Location

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