Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | WA |
NPI | 1144625617 |
---|---|
Provider Name | Michael Gebremedhin |
First Address | Seattle, WA 98144 |
Second Address | Seattle, WA 98144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2014 |
Last Update Date | 27/10/2014 |