MS. KIMBERLY J D ANGELO MC 61115650 NPI 1104562396

NPI Information

NPI: 1104562396
Provider Name: MS. KIMBERLY J D ANGELO, MC 61115650
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
15446 BEL RED RD STE 200
REDMOND, WA
ZIP 98052
Phone: (425) 295-7697
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MS. Kimberly J D Angelo, MC 61115650 is a mental health counselor in Redmond, WA. MS. Kimberly J D Angelo, MC 61115650 NPI is 1104562396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15446 BEL RED RD STE 200
REDMOND, WA
ZIP 98052-517
Phone: (425) 295-7697

The enumeration date for this NPI number is 5/10/2022 and was last updated on 5/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MC61115650	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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