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NPI Code Detail

MEDICARE: ANNA PETRIE

MEDICARE: ANNA PETRIE
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 Counselor

General Provider Information

NPI Number : 1881536365
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA PETRIE
Provider Business Mailing Address
First Line : PO BOX 839
Second Line :
City : EVERETT
State : WA
Zip : 98206-0839
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2802 BROADWAY
Second Line :
City : EVERETT
State : WA
Zip : 98201-3642
Country : US
Telephone Number : 425-259-3191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ ANNA PETRIE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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