Jeanne Heather Wicomb in Bellevue - Marriage & Family Therapist

Jeanne Heather Wicomb - NPI 1881716595

Jeanne Heather Wicomb is a Marriage & Family Therapist in Bellevue, Washington. Jeanne Heather Wicomb practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jeanne Heather Wicomb is 1881716595. The last update date is 2007-07-08.

Jeanne Heather Wicomb's current location address is 1601 114th Ave Se, Bellevue, Washington. You can contact this provider via phone number 4254511134 and fax number 4254518501. The mailing address for Jeanne Heather Wicomb is 1601 114th Ave Se, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanne Heather Wicomb
Address 1601 114th Ave Se, Bellevue, Washington
Phone Number 4254511134
Fax Number 4254518501
Sole Proprietor N
Credentials LMFT

NPI Number Detail

NPI Number 1881716595
Provider Enumeration Date 2007-04-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1601 114th Ave Se
City Bellevue
State Washington (WA)
Post Code 980046950
Phone Number 4254511134
Fax Number 4254518501

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No LF00001898
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W904633 WA CHAMPUS

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FAQs about Jeanne Heather Wicomb

What is the unique identifier code issued to Jeanne Heather Wicomb by the Centers for Medicare & Medicaid Services (CMS)?

The Jeanne Heather Wicomb has been assigned the NPI (National Provider Identifier) 1881716595. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jeanne Heather Wicomb?

The Jeanne Heather Wicomb is physically situated at 1601 114Th Ave Se, in the city of Bellevue, state of WA, with the postal code 980046950.

What is the area of specialization for Jeanne Heather Wicomb, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeanne Heather Wicomb is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.

On what date did the Jeanne Heather Wicomb receive its 1881716595 assignment from the Centers for Medicare & Medicaid Services?

The Jeanne Heather Wicomb was assigned its 1881716595 by the Centers for Medicare & Medicaid Services on 2007-04-04.

As of what date were the details related to Jeanne Heather Wicomb most recently updated or revised?

The information pertaining to Jeanne Heather Wicomb, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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