MEDICARE: NOREEN FLYNN WEIHE MA LM HC

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
2	101YM0800X	Mental Health Counselor	LH00009511	WA

General Provider Information

NPI Number	:	1851560692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOREEN FLYNN WEIHE MA LM HC

Provider Business Mailing Address
First Line	:	1232 39TH AVENUE EAST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112
Country	:	US
Telephone Number	:	206-306-6736
Fax Number	:

Provider Business Practice Location Address
First Line	:	1549 OCEAN BLVD
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-5757
Country	:	US
Telephone Number	:	206-861-8274
Fax Number	:

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

Provider Enumeration Date	:	02/26/2008
Last Update Date	:	07/27/2023

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