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NPI Code Detail

MEDICARE: ALEC SODAPOP LLAMAS

MEDICARE:   ALEC SODAPOP LLAMAS
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 : 1891414983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEC SODAPOP LLAMAS
Provider Business Mailing Address
First Line : 3788 NE 4TH ST APT A203
Second Line :
City : RENTON
State : WA
Zip : 98056-8457
Country : US
Telephone Number : 805-901-9934
Fax Number :
Provider Business Practice Location Address
First Line : 6840 FORT DENT WAY STE 350
Second Line :
City : TUKWILA
State : WA
Zip : 98188-8512
Country : US
Telephone Number : 206-491-5612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 05/20/2026

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Directions to “ ALEC SODAPOP LLAMAS ” Practice Location

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