MEDICARE: CHRISTY MARIE SAEVIVAT

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1952917676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY MARIE SAEVIVAT

Provider Business Mailing Address
First Line	:	2641 42ND AVE SW APT 416
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4607
Country	:	US
Telephone Number	:	253-576-6989
Fax Number	:

Provider Business Practice Location Address
First Line	:	2641 42ND AVE SW APT 416
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4607
Country	:	US
Telephone Number	:	253-576-6989
Fax Number	:

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

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	09/17/2020

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Directions to “ CHRISTY MARIE SAEVIVAT ” Practice Location

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