Judith Freed Provasoli in Olympia - Mental Health
Judith Freed Provasoli - NPI 1114072352
Judith Freed Provasoli is a Mental Health in Olympia, Washington. Judith Freed Provasoli practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Judith Freed Provasoli is 1114072352. The last update date is 2007-07-08.
Judith Freed Provasoli's current location address is 1018 7th Ave Se, Olympia, Washington. You can contact this provider via phone number 3604131709. The mailing address for Judith Freed Provasoli is 1018 7th Ave Se, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Freed Provasoli |
|---|---|
| Address | 1018 7th Ave Se, Olympia, Washington |
| Phone Number | 3604131709 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.M.H.C. |
NPI Number Detail
| NPI Number | 1114072352 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1018 7th Ave Se |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985011512 |
| Phone Number | 3604131709 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LH00003779 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Judith Freed Provasoli by the Centers for Medicare & Medicaid Services?
The Judith Freed Provasoli has been assigned the NPI (National Provider Identifier) 1114072352. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Judith Freed Provasoli is physically located?
The Judith Freed Provasoli is physically situated at the following address: 1018 7Th Ave Se, Olympia, WA, 985011512.
What is Judith Freed Provasoli's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judith Freed Provasoli's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Judith Freed Provasoli receive its 1114072352 assignment from the Centers for Medicare & Medicaid Services?
The Judith Freed Provasoli was assigned its 1114072352 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the Judith Freed Provasoli's details last updated?
The information pertaining to the Judith Freed Provasoli, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1518961176
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