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Provider Information for 1235643578


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KATIE KAPUGI MA, LMHC


Sex: Female

NPI: 1235643578
Last Updated: 2020-04-08
Certification Date: 2020-04-08

Details

NameValue
NPI1235643578
Enumeration Date2017-11-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 3835
SEATTLE, WA 98124-3835
United States

Phone: | Fax:
 
Primary Practice Address 7740 34TH AVE SW
SEATTLE, WA 98126-3503
United States

Phone: 206-452-2660 | Fax:206-452-2661
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthWALH60947980