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NPI Code Detail

MEDICARE: MERYL HENRY MS, LMFTA

MEDICARE:   MERYL  HENRY  MS, LMFTA
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
1106H00000XMarriage & Family TherapistMG60481060WA

General Provider Information

NPI Number : 1982089017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERYL HENRY MS, LMFTA
Provider Business Mailing Address
First Line : 150 LAKE ST S STE 222
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-6461
Country : US
Telephone Number : 425-246-6835
Fax Number :
Provider Business Practice Location Address
First Line : 150 LAKE ST S STE 222
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-6461
Country : US
Telephone Number : 425-246-6835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2015
Last Update Date : 07/30/2015

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Directions to “ MERYL HENRY MS, LMFTA” Practice Location

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