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NPI Code Detail

MEDICARE: MAUREEN HERSHOLT LMHC

MEDICARE: MAUREEN HERSHOLT 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 CounselorLH00003552WA

General Provider Information

NPI Number : 1922088061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN HERSHOLT LMHC
Provider Business Mailing Address
First Line : 4505 44TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4116
Country : US
Telephone Number : 206-933-1800
Fax Number :
Provider Business Practice Location Address
First Line : 4505 44TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4116
Country : US
Telephone Number : 206-933-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 07/08/2007

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Directions to “ MAUREEN HERSHOLT LMHC” Practice Location

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