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Keria Madow
Student in an Organized Health Care Education/Training Program in Bellevue, Washington
NPI 1689131476

Keria Madow is a Student in an Organized Health Care Education/Training Program based in Bellevue, WA. Keria Madow practices in Bellevue, WA. The NPI Number for Keria Madow is 1689131476 and holds a License No. 61097124 (Washington).

The current practice location address for Keria Madow is 1412 140Th Pl Ne, Bellevue, WA and can be reached out via phone at 425-747-7892.

Location: 1412 140Th Pl Ne, Bellevue, WA, 98007-3915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689131476
Provider Name
Keria Madow
Credential
Provider Entity Type
Individual
Gender
Female
Address
1412 140Th Pl Ne, Bellevue, WA, 98007-3915
Phone Number
425-747-7892
Fax Number
Provider Enumeration Date
02/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1412 140Th Pl Ne
City
Bellevue
State
Washington
Zip
98007-3915
Phone Number
425-747-7892
Fax Number
person
Provider Business Mailing Address Details
Address
1412 140Th Pl Ne
City
Bellevue
State
Washington
Zip
98007-3915
Phone Number
425-747-7892
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
61097124 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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