MEDICARE: MS. ABBY M WONG-HEFFTER LMHC, CMHS

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	MHC.LH.60163758	WA

General Provider Information

NPI Number	:	1821308438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ABBY M WONG-HEFFTER LMHC, CMHS

Provider Business Mailing Address
First Line	:	4420 S MORGAN ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3340
Country	:	US
Telephone Number	:	206-851-7601
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 S MORGAN ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3340
Country	:	US
Telephone Number	:	206-851-7601
Fax Number	:

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

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	04/02/2021

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