Michelle T Cabalquinto
Individual provider Active NPI Counselor · Monroe, WA
NPI 1457501603 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1457501603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- RC00051094 (WA)
- Practice address
- 909 W Main St
Suite 102a
Monroe, WA 98272-2030 - Phone
- (360) 805-3122
- Fax
- (360) 805-9180
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00051094 | WA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00051094 | WA | Yes |
Addresses
Primary practice location
909 W Main St
Suite 102a
Monroe, WA 98272-2030
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-3335
Other names
- Michelle T Gardner
Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.