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NPI Code Detail

MEDICARE: MAALFRID MARIE HODDEVIK MA, LMHC

MEDICARE:   MAALFRID MARIE HODDEVIK  MA, LMHC
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 CounselorLH60159588WA
2101YM0800XMental Health CounselorRC00047945WA

General Provider Information

NPI Number : 1801935804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAALFRID MARIE HODDEVIK MA, LMHC
Provider Business Mailing Address
First Line : 4629-NE195TH
Second Line :
City : LAKE FOREST PARK
State : WA
Zip : 98155
Country : US
Telephone Number : 206-715-6991
Fax Number :
Provider Business Practice Location Address
First Line : 12360 LAKE CITY WAY NE STE 420
Second Line :
City : SEATTLE
State : WA
Zip : 98125-5452
Country : US
Telephone Number : 206-715-6991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/21/2022

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Directions to “ MAALFRID MARIE HODDEVIK MA, LMHC” Practice Location

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